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Derek Tyler Pantiel

  • Male

Medical Specialty

Professional ID

  • NPI: 1528353638
  • PECOS ID: 9931328747
  • Enrollment ID: I20140909002810
  • Credential(MD, DO, DPM):
  • Medical School: Ohio College Of Podiatric Medicine
  • Medical School Graduation Year: 2011

Hospital Service

  • Hospital CCN1: 340041
  • Business Name (LBN)1: Caldwell Memorial Hospital
  • Hospital CCN2: 340068
  • Business Name (LBN)2: Columbus Regional Healthcare System
  • Hospital CCN3: 340141
  • Business Name (LBN)3: New Hanover Regional Medical Center
  • Hospital CCN4: 340051
  • Business Name (LBN)4: Watauga Medical Center

Medical Practices

  • Organization Name: Instride Foot And Ankle Specialists, Pllc
  • Group Practice ID assigned by PECOS: 7012168271
  • Number of Group Practice member: 72

Location

Medical Practices

  • Organization Name: Horizon Surgical Specialists Pa
  • Group Practice ID assigned by PECOS: 9133189350
  • Number of Group Practice member: 6

Location

  • Address1: 401 Mulberry St Sw
  • Address2: Suite 101
  • City: Lenoir
  • State: North Carolina
  • Zip Code: 28645
  • Phone Number: (828)758-5501

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):