Sean Michael Mickle (NPI# 1073861381, PAC ID# 3577702018) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1073861381 |
PAC ID by PECOS | 3577702018 |
Professional Enrollment ID | I20150908001210 |
Full Name | Sean Michael Mickle |
Organization Legal Name | QUICKER CARE CLINIC PA |
Address |
1224 E Main St Havelock NC 28532-2405 |
Phone Number | 2524477474 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 6800037532 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340042 | ONSLOW MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1224 E Main St, Havelock, NC 28532-2405 | 2524477474 | QUICKER CARE CLINIC PA |
Organization Legal Name | QUICKER CARE CLINIC PA |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Radonna Fields Carroll | Nurse Practitioner | Quicker Care Clinic Pa | 1224 E Main St, Havelock, NC 28532-2405 |
Street Address |
1224 E MAIN ST |
City | HAVELOCK |
State | NC |
Zip | 28532-2405 |
Name | Specialty | Organization | Address |
---|---|---|---|
Breanna M Acero | Physician Assistant | Coastal Carolina Health Care Pa | 1224 E Main St, Havelock, NC 28532-2405 |
Radonna Fields Carroll | Nurse Practitioner | Quicker Care Clinic Pa | 1224 E Main St, Havelock, NC 28532-2405 |
Name | Specialty | Organization | Address |
---|---|---|---|
Debie D Saidla | Psychologist, Clinical | 110 Mccotter Blvd, Havelock, NC 28532-1632 | |
Joel R Banks | Optometry | 1401 E Main St, Havelock, NC 28532-1822 | |
Evan Ryan Restelli | Pulmonary Disease | Carolinaeast Physicians | 532 Webb Blvd, Havelock, NC 28532-2042 |
Dusty L Scott | Physician Assistant | Carolinaeast Physicians | 532 Webb Blvd, Havelock, NC 28532-2042 |
Mark B Moeller | Internal Medicine | Carolinaeast Physicians | 532 Webb Blvd, Havelock, NC 28532-2042 |
Robert O Holmes Jr. | Rheumatology | Carolinaeast Physicians | 532 Webb Blvd, Havelock, NC 28532-2042 |
William P Lorio | Internal Medicine | Carolinaeast Physicians | 532 Webb Blvd, Havelock, NC 28532-2042 |
Matthew Levine | Cardiovascular Disease (cardiology) | Carolinaeast Physicians | 532 Webb Blvd, Havelock, NC 28532-2042 |
Douglas H Desantis | Internal Medicine | Carolinaeast Physicians | 532 Webb Blvd, Havelock, NC 28532-2042 |
Michael Anthony Rave | Cardiovascular Disease (cardiology) | Carolinaeast Physicians | 532 Webb Blvd, Havelock, NC 28532-2042 |
Find all physicians in zip 28532 |
City | HAVELOCK |
Zip Code | 28532 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | HAVELOCK + PHYSICIAN ASSISTANT |
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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.