| Kyle Alan Vanmiddlesworth, DO | |
|
169 Ashley Ave, Charleston, SC 29425-8905 | |
| (843) 792-2300 | |
| Not Available |
| Full Name | Kyle Alan Vanmiddlesworth |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 13 Years |
| Location | 169 Ashley Ave, Charleston, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689920878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 1680 (South Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 1680 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carolina East Medical Center | New bern, NC | Hospital |
| Onslow Memorial Hospital | Jacksonville, NC | Hospital |
| Piedmont Medical Center | Rock hill, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Radiology Associates Pllc | 8224002696 | 24 |
| Greensboro Radiology Pa | 8729074901 | 201 |
| Coastal Carolina Health Care Pa | 9739087693 | 105 |
| Entity Name | Coastal Carolina Health Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750567970 PECOS PAC ID: 9739087693 Enrollment ID: O20031230000224 |
| Entity Name | Greensboro Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20040422001214 |
| Entity Name | Coastal Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144270307 PECOS PAC ID: 8224002696 Enrollment ID: O20040823000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Alan Vanmiddlesworth, DO 169 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-2300 | Kyle Alan Vanmiddlesworth, DO 169 Ashley Ave, Charleston, SC 29425-8905 Ph: (843) 792-2300 |
Dr. Richard Hayden Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Sai Kiran Gudla, Radiology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2575 | |
Karen L Spodarek, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2154 Fax: 843-805-6277 | |
Johnny Phillips Campbell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2988 | |
Nancy Curry, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Donna Rae Roberts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Christopher Jason Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9228 Medical Plaza Dr, Charleston, SC 29406 Phone: 843-876-7080 Fax: 843-876-7111 |