Evan Pierce Stiegel (NPI# 1639512072, PAC ID# 4587912688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1639512072 |
| PAC ID by PECOS | 4587912688 |
| Professional Enrollment ID | I20180807000207 |
| Full Name | Evan Pierce Stiegel |
| Organization Legal Name | SKIN SURGERY CENTER PA |
| Address |
2874 Ward Blvd Wilson NC 27893-1761 |
| Phone Number | 2522915600 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3173599479 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340126 | WILSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2874 Ward Blvd, Wilson, NC 27893-1761 | 2522915600 | SKIN SURGERY CENTER PA |
| Organization Legal Name | SKIN SURGERY CENTER PA |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Howerter | Dermatology | Skin Surgery Center Pa | 312 Fairy St Ext, Suite 201, Martinsville, VA 24112-1912 |
| Mario V Mitkov | Dermatology | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Kendall Martel Egan | Dermatology | Skin Surgery Center Pa | 6752 Rock Spring Rd, Suite 201, Wilmington, NC 28405-3179 |
| Christopher Ryan Urban | Dermatology | Skin Surgery Center Pa | 78 Long Shoals Rd, Arden, NC 28704-7782 |
| Joyce S Smith | Nurse Practitioner | Skin Surgery Center Pa | 2874 Ward Blvd, Wilson, NC 27893-1761 |
| Karen Trygg Wold | Dermatology | Skin Surgery Center Pa | 1985 Tate Blvd Se, Suite 755, Hickory, NC 28602-1433 |
| Samantha Conner | Physician Assistant | Skin Surgery Center Pa | 314 S S St, Suite 400, Mount Airy, NC 27030-4599 |
| Charles N Reed | Dermatology | Skin Surgery Center Pa | 1870 N Ctr St, Hickory, NC 28601-1853 |
| Martha Louise Wilson | Dermatology | Skin Surgery Center Pa | 104 E Stuart Dr, Galax, VA 24333-2119 |
| Amy Devore | Dermatology | Skin Surgery Center Pa | 314 S S St, Suite 400, Mount Airy, NC 27030-4599 |
| Street Address |
2874 WARD BLVD |
| City | WILSON |
| State | NC |
| Zip | 27893-1761 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce S Smith | Nurse Practitioner | Skin Surgery Center Pa | 2874 Ward Blvd, Wilson, NC 27893-1761 |
| David W Corbett | Dermatology | Skin Surgery Center Pa | 2874 Ward Blvd, Wilson, NC 27893-1761 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Elizabeth Dean | Certified Registered Nurse Anesthetist (crna) | Carolina Anesthesia Associates Pa | 20402 Camden Swst, Suite 300, Wilson, NC 27893 |
| Medhat F Sidaros | Internal Medicine | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| James M Fitch | Physician Assistant | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Catherine Margaret Melin | Nurse Practitioner | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| Wallace Royce Nelms Jr. | Family Medicine | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Leana Lefrapper Higgins | Physician Assistant | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Elizabeth Woods Oates | Psychiatry | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| Chad W Cato | Chiropractic | 2000 Nash St N, Suite E, Wilson, NC 27893-1724 | |
| James M Bolton | Chiropractic | 2801 Ward Blvd, Suite 7a, Wilson, NC 27893-1752 | |
| Janet E Yankosky | Clinical Social Worker | 1810 Westwood Ave, Wilson, NC 27893-2143 | |
| Find all physicians in zip 27893 | |||
| City | WILSON |
| Zip Code | 27893 |
| Specialty | DERMATOLOGY |
| City + Specialty | WILSON + DERMATOLOGY |
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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.