Gregory C Mitro (NPI# 1215996236, PAC ID# 9739182486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1215996236 |
| PAC ID by PECOS | 9739182486 |
| Professional Enrollment ID | I20060817000553 |
| Full Name | Gregory C Mitro |
| Organization Legal Name | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| Address |
229 Mocksville Ave Salisbury NC 28144-3325 |
| Phone Number | 7043337376 |
| Gender | M |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 1254233950 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340015 | NOVANT HEALTH ROWAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| 229 Mocksville Ave, Salisbury, NC 28144-3325 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| Organization Legal Name | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Christopher Ward | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Dean A Gant | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Linda R Coverdale | Physician Assistant | Southeast Radiation Oncology Group, P.a. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Amanda N Cromer | Nurse Practitioner | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Courtney J Smith | Physician Assistant | Southeast Radiation Oncology Group, P.a. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Gregory L Jones | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| John Heinzerling | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Bradley T Mccall | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 229 Mocksville Ave, Salisbury, NC 28144-3325 |
| Jerome M Butler Jr. | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Lauren T Jones | Physician Assistant | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Street Address |
229 MOCKSVILLE AVE |
| City | SALISBURY |
| State | NC |
| Zip | 28144-3325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley T Mccall | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 229 Mocksville Ave, Salisbury, NC 28144-3325 |
| Robert M Doline | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 229 Mocksville Ave, Salisbury, NC 28144-3325 |
| Christopher D Corso | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 229 Mocksville Ave, Salisbury, NC 28144-3325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor M Rosado | Psychiatry | 650 Statesville Blvd, Suite 1, Salisbury, NC 28144-2216 | |
| Aron Christian Lippard | Physical Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Cynthia D Shierts | Nurse Practitioner | Metrolina Nephrology Associates Pa | 111 Dorsett Dr, Salisbury, NC 28144-2278 |
| Hayley Sue Sedell | Physical Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Kathy M Shelton Riek | Clinical Social Worker | Ultra Violet Mental Health | 103 Dorsett Dr, Suite 200, Salisbury, NC 28144-2278 |
| Nanci T Accetta | Occupational Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Christian Bowman | Qualified Speech Language Pathologist | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Brenda Belk Cupp | Nurse Practitioner | Ultra Violet Mental Health | 103 Dorsett Dr, Suite 200, Salisbury, NC 28144-2278 |
| Frank Alan Younce | Occupational Therapy | Bayada Home Health Care, Inc. | 103 Dorsett Dr, Suite 300, Salisbury, NC 28144-2278 |
| Natalie A Errante | Nurse Practitioner | Ultra Violet Mental Health | 103 Dorsett Dr, Suite 200, Salisbury, NC 28144-2278 |
| Find all physicians in zip 28144 | |||
| City | SALISBURY |
| Zip Code | 28144 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | SALISBURY + RADIATION ONCOLOGY |
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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.