Kim Waldenmaier (NPI# 1851373021, PAC ID# 7719917012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851373021 |
| PAC ID by PECOS | 7719917012 |
| Professional Enrollment ID | I20050816001159 |
| Full Name | Kim Waldenmaier |
| Organization Legal Name | UPSTATE CAROLINA RADIOLOGY PA |
| Address |
319 N Pine St Suite 1 Spartanburg SC 29302-1605 |
| Phone Number | 8645828900 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941298244 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420007 | SPARTANBURG MEDICAL CENTER |
| 420023 | ST FRANCIS-DOWNTOWN |
| Address | Phone | Organization |
|---|---|---|
| 250 Westmoreland Rd, Greer, SC 29651-9013 | 8645304664 | UPSTATE CAROLINA RADIOLOGY PA |
| 319 N Pine St, Suite 1, Spartanburg, SC 29302-1605 | 8645828900 | UPSTATE CAROLINA RADIOLOGY PA |
| Organization Legal Name | UPSTATE CAROLINA RADIOLOGY PA |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Pelino | Diagnostic Radiology | Upstate Carolina Radiology Pa | 389 Serpentine Dr, Spartanburg, SC 29303-3026 |
| Stetson Reed Bickley | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Michael Joseph Enright | Diagnostic Radiology | Upstate Carolina Radiology Pa | 389 Serpentine Dr, Spartanburg, SC 29303-3026 |
| Kelan J Brown | Diagnostic Radiology | Upstate Carolina Radiology Pa | 389 Serpentine Dr, Spartanburg, SC 29303-3026 |
| Richard John Harp | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Jason P Kelly | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Amanda A Faile | Nurse Practitioner | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Luther Person | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Daniel Wayne Bozarth | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Robert Wililiam Krause | Diagnostic Radiology | Upstate Carolina Radiology Pa | 101 E Wood St, Spartanburg, SC 29303-3040 |
| Street Address |
319 N PINE ST SUITE 1 |
| City | SPARTANBURG |
| State | SC |
| Zip | 29302-1605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Harrison Littlefield Sr. | Internal Medicine | 319 N Pine St, Spartanburg, SC 29302-1605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janessa Marie Perez Motlis | Family Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| Scott A Coley | Family Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| Vincent Slater | Family Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| George L Bass | Internal Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| James C Thompson Jr. | Internal Medicine | Spartanburg Medical Center | 120 Heywood Ave, Suite 200, Spartanburg, SC 29302-1210 |
| Edgar M Poole | Optometry | 705 E Main St, Spartanburg, SC 29302-1281 | |
| Margaret S Robertson | Qualified Audiologist | Greer Audiology LLC | 324 E Saint John St, Spartanburg, SC 29302-1505 |
| Jessica Lynn Strzepek | Qualified Audiologist | Greer Audiology LLC | 324 E Saint John St, Spartanburg, SC 29302-1505 |
| Lynda Clark | Qualified Audiologist | Greer Audiology LLC | 324 E Saint John St, Spartanburg, SC 29302-1505 |
| Maggie H Gainey | Clinical Psychologist | 324 E Saint John St, Suite B, Spartanburg, SC 29302-1505 | |
| Find all physicians in zip 29302 | |||
| City | SPARTANBURG |
| Zip Code | 29302 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPARTANBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kim Waldenmaier.
| 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.