Richard J Wunder (NPI# 1306822739, PAC ID# 9436136025) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1306822739 |
| PAC ID by PECOS | 9436136025 |
| Professional Enrollment ID | I20040701000788 |
| Full Name | Richard J Wunder |
| Organization Legal Name | CAROLINA RADIOLOGY ASSOCIATES LLC |
| Address |
4593 Oleander Dr Suite 200 Myrtle Beach SC 29577-5755 |
| Phone Number | 8436920570 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF PENNSYLVANIA |
| Graduation Year | 1989 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1658350764 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 420049 | CONWAY MEDICAL CENTER |
| 420055 | CAROLINAS HOSPITAL SYSTEM MARION |
| 420105 | MCLEOD LORIS HOSPITAL |
| 420066 | LAKE CITY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4593 Oleander Dr, Suite 200, Myrtle Beach, SC 29577-5755 | 8436920570 | CAROLINA RADIOLOGY ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% |
| Organization Legal Name | CAROLINA RADIOLOGY ASSOCIATES LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah H Allgeier | Diagnostic Radiology | Carolina Radiology Associates LLC | 1303 Azalea Ct, Suite C, Myrtle Beach, SC 29577-5765 |
| Stephan Stamato | Diagnostic Radiology | Carolina Radiology Associates LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Geoffrey T Gilleland | Diagnostic Radiology | Carolina Radiology Associates LLC | 359 Berkeley Rd, Rock Hill, SC 29732-1997 |
| Scott Hagood Allen | Diagnostic Radiology | Carolina Radiology Associates LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Paul M Kuperman | Diagnostic Radiology | Carolina Radiology Associates LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Wesley Shawn Conwell | Diagnostic Radiology | Carolina Radiology Associates LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Elizabeth Ann Kelley | Diagnostic Radiology | Carolina Radiology Associates LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Joshua C Leighton | Diagnostic Radiology | Carolina Radiology Associates LLC | 805 Pamplico Hwy, Florence, SC 29505-6047 |
| Brandon Cramer | Diagnostic Radiology | Carolina Radiology Associates LLC | 300 Singleton Ridge Rd, Conway, SC 29526-9142 |
| Jeffrey Scott Lackey | Diagnostic Radiology | Carolina Radiology Associates LLC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Street Address |
4593 OLEANDER DR SUITE 200 |
| City | MYRTLE BEACH |
| State | SC |
| Zip | 29577-5755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra Carnosso | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Ronald K Reynolds | Emergency Medicine | Beach Urgent Care | 2510 N Kings Hwy, Myrtle Beach, SC 29577 |
| Andrew Sone | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Melody Podraza | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Lester C Robinette | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Kathy T Heustess | Clinical Social Worker | Coastal Samaritan Counseling Center | 901 N Kings Hwy, Myrtle Beach, SC 29577 |
| Rubert Garland Chilton | Chiropractic | Chilton Chiropractic | 607 19th Ave N, Myrtle Beach, SC 29577-0607 |
| Rhiana Langley | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 |
| George W Rollins | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1303 38th N Ave, Myrtle Beach, SC 29577-1315 |
| Kerri J Mccoy | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 |
| Find all physicians in zip 29577 | |||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MYRTLE BEACH + DIAGNOSTIC RADIOLOGY |
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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.