Beau Jackson Kildow (NPI# 1780002436, PAC ID# 1456684166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1780002436 |
| PAC ID by PECOS | 1456684166 |
| Professional Enrollment ID | I20190612002328 |
| Full Name | Beau Jackson Kildow |
| Organization Legal Name | ORTHOCAROLINA, PA |
| Address |
2001 Vail Ave Suite 200 Charlotte NC 28207-1219 |
| Phone Number | 7043232000 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2062316821 |
| Number of Group Practice Members | 402 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2001 Vail Ave, Suite 200, Charlotte, NC 28207-1219 | 7043232000 | ORTHOCAROLINA, PA |
| Organization Legal Name | ORTHOCAROLINA, PA |
| Physicians | 395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Marshall Simmons | Physical Therapy | Orthocarolina, Pa | 197 Piedmont Blvd, Suite 111, Rock Hill, SC 29732-1825 |
| Lacy Peterson | Physical Therapy | Orthocarolina, Pa | 214 18th St Se, Hickory, NC 28602-1363 |
| Matthew Quay Johnson | Physical Therapy | Orthocarolina, Pa | 150 Fairview Rd, Suite 230, Mooresville, NC 28117-9508 |
| James Steven Starman | Orthopedic Surgery | Orthocarolina, Pa | 445 Pineview Dr, Suite 220, Kernersville, NC 27284-3818 |
| Erica Kay Locklear | Nurse Practitioner | Orthocarolina, Pa | 1604 Medical Dr, Laurinburg, NC 28352-5524 |
| Michael Steven Gart | Plastic and Reconstructive Surgery | Orthocarolina, Pa | 2001 E 7th St, Charlotte, NC 28204-3311 |
| Debra Myhr | Physical Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Margaret Mcbride Hanna | Physical Therapy | Orthocarolina, Pa | 5935 Carnegie Blvd, Suite 104, Charlotte, NC 28209-4672 |
| Michael Devon Bates | Orthopedic Surgery | Orthocarolina, Pa | 9848 N Tryon St, Charlotte, NC 28262-5512 |
| Judit A Staneata | Physical Medicine and Rehabilitation | Orthocarolina, Pa | 180 Kimel Park Dr, Winston Salem, NC 27103-6976 |
| Street Address |
2001 VAIL AVE SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28207-1219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Matthew Sullivan | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Esther Rebecca Landis Hayes | Family Medicine | Carolinas Medical Center | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Jason E Bolden | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Daniel Vincent Vargo | Orthopedic Surgery | Orthocarolina, Pa | 2001 Vail Ave, Suite 200, Charlotte, NC 28207-1219 |
| Mariann S Lipinski | Certified Registered Nurse Anesthetist (crna) | Chs Anesthesia Services Group Inc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Tonia Ann Rouser | Certified Registered Nurse Anesthetist (crna) | Chs Anesthesia Services Group Inc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Chelsea D Cain | Nurse Practitioner | Carolinas Medical Center | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Brittney F Mcguirt | Physician Assistant | Metrolina Nephrology Associates Pa | 2001 Vail Ave, Suite 7, Charlotte, NC 28207-1219 |
| John W Burger | Emergency Medicine | Emergency Medicine Physicians of Mecklenburg County Pllc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Lisa M Springer | Hospitalist | Carolinas Physicians Network Inc | 2001 Vail Ave, Charlotte, NC 28207-1248 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Rudisel | Internal Medicine | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Philip M Dayvault | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Tyler L Carllee | Orthopedic Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Lindsay C Collins | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Kristen L Alford | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Marcie Heslop Siebert | Occupational Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Eric C Heckman | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Shannon Mullaly | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Timothy A Boyd | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Raymond G Gaston | Hand Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in zip 28207 | |||
| City | CHARLOTTE |
| Zip Code | 28207 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | CHARLOTTE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Beau Jackson Kildow.
| 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.