Kelly Courtney Shadwick (NPI# 1952614950, PAC ID# 1153514948) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is AUDIOLOGIST.
| Nation Provider ID (NPI) | 1952614950 |
| PAC ID by PECOS | 1153514948 |
| Professional Enrollment ID | I20170818000398 |
| Full Name | Kelly Courtney Shadwick |
| Organization Legal Name | CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES, P.A. |
| Address |
1698 Hwy 160 W 240 Fort Mill SC 29708-8035 |
| Phone Number | 8035473800 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | AUDIOLOGIST |
| Group Practice PAC ID | 0446155451 |
| Number of Group Practice Members | 134 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1698 Hwy 160 W 240, Fort Mill, SC 29708-8035 | 8035473800 | CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES, P.A. |
| 200 S Herlong A, Rock Hill, SC 29732-1182 | 8033281864 | CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES, P.A. |
| Organization Legal Name | CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES, P.A. |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elissa N Farmer | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates, P.a. | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Ashley M Mohr | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates, P.a. | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Raymond E Brown | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates, P.a. | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Elaine H Kim | Audiologist | Charlotte Eye Ear Nose and Throat Associates, P.a. | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Fayne Hirsh Fischer | Audiologist | Charlotte Eye Ear Nose and Throat Associates, P.a. | 724 Aubrey Bell Dr, Matthews, NC 28105-5403 |
| Jennifer Marie Hull | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates, P.a. | 149 Plantation Ridge Dr, Suite 190, Mooresville, NC 28117-9178 |
| Cristina Murphy Valdez | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates, P.a. | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Laura Margarita Cantu Baysinger | Audiologist | Charlotte Eye Ear Nose and Throat Associates, P.a. | 1698 Hwy 160 W 240, Fort Mill, SC 29708-8035 |
| Chelsea Lynn Lewis | Audiologist | Charlotte Eye Ear Nose and Throat Associates, P.a. | 838 W Meeting St C, Lancaster, SC 29720-6233 |
| Kathryn Ann Daar | Audiologist | Charlotte Eye Ear Nose and Throat Associates, P.a. | 6035 Fairview Rd, Charlotte, NC 28210-3256 |
| Street Address |
1698 HWY 160 W 240 |
| City | FORT MILL |
| State | SC |
| Zip | 29708-8035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Baura | Physician Assistant | Charlotte Eye Ear Nose and Throat Associates Pa | 1698 Hwy 160 W 240, Fort Mill, SC 29708-8035 |
| Laura Margarita Cantu Baysinger | Audiologist | Charlotte Eye Ear Nose and Throat Associates, P.a. | 1698 Hwy 160 W 240, Fort Mill, SC 29708-8035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Cynowa Jr. | Chiropractic | 1520 Onyx Rdg, Suite 101, Fort Mill, SC 29708-0007 | |
| Thomas M Kowalski | Physical Therapy | 9347 Founders St, Suite A, Fort Mill, SC 29708-6417 | |
| Luke F Mackinnon | Chiropractic | 1808 2nd Baxter Xing, Suite 108, Fort Mill, SC 29708-6437 | |
| Whitney N Kersey | Nurse Practitioner | 1808 2nd Baxter Xing, Suite 108, Fort Mill, SC 29708-6437 | |
| Jeffery N Cox | Sleep Medicine | 102 Stone Village Dr, Fort Mill, SC 29708-6479 | |
| Randall J Conger | Chiropractic | 101 Stone Village Dr, Fort Mill, SC 29708-6489 | |
| Tammy Lynn James | Clinical Social Worker | 1808 2nd Baxter Xing, Suite 208, Fort Mill, SC 29708-6492 | |
| David Hall | Chiropractic | 1171 Market St, Suite 104, Fort Mill, SC 29708-6502 | |
| Amber W Tolbert | Clinical Social Worker | 975 Market St, Fort Mill, SC 29708-6531 | |
| Theresa Torres Lobbestael | Chiropractic | Carolina Sports Clinic Fort Mill LLC | 985 Market St, Suite 201, Fort Mill, SC 29708-6533 |
| Find all physicians in zip 29708 | |||
| City | FORT MILL |
| Zip Code | 29708 |
| Specialty | AUDIOLOGIST |
| City + Specialty | FORT MILL + AUDIOLOGIST |
Please comment or provide details below to improve the information on Kelly Courtney Shadwick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.