DR. KENNETH JOSEPH KAMINSKI JR. (NPI# 1518136225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518136225 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JOSEPH KAMINSKI JR. |
| Credential | MD |
| Practice Address |
3414 Golden Rd Tyler TX 75701-8336 |
| Practice Telephone | 9039397500 |
| Practice Fax Number | 9039397728 |
| Mailing Telephone | 9039397500 |
| Mailing Fax Number | 9039397728 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2015-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME109691 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
N7932 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003955300 | 05 |
| Street Address |
3414 GOLDEN RD |
| City | TYLER |
| State | TX |
| Zip Code | 75701-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640173 | James Robert Harris | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2005-09-27 |
| 1104433739 | Ortholonestar, Pllc | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-09-28 |
| 1912528498 | Brooke Nicole Mcdaniel | Occupational Therapy Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-05-06 |
| 1912526153 | Iana G Harris | Physician Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-04-08 |
| 1104450832 | Lindsey Michelle Markel | Nurse Practitioner | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-03-03 |
| 1568009058 | East Texas First Surgical Support Pllc | Physician Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2019-12-04 |
| 1770144701 | Olsv3 Pllc | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2019-06-20 |
| 1740840651 | Samantha Anderson Ray | Physician Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2019-06-13 |
| 1326540097 | Jennifer Marie Mckelva | Physician Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2018-03-08 |
| 1730601790 | Justin Alan Williams | Nurse Practitioner | 3414 Golden Rd, Tyler, TX 75701-8336 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598108797 | Bone and Joint Surgery Associates, P.a. | Orthopaedic Surgery | 2122 Babcock Rd Ste 101, San Antonio, TX 78229-4411 | 2013-04-08 |
| 1578846002 | David Peter Brigati | Orthopaedic Surgery | Health Transformation Building, 1601 Trinity Street, Austin, TX 78712 | 2011-09-21 |
| 1831496983 | Gens Pierce Goodman | Orthopaedic Surgery | 4801 Alberta Ave Ste 101, Orthopaedic Surgery, El Paso, TX 79905-2707 | 2011-02-24 |
| 1699920256 | Vijayaraj Kannan | Orthopaedic Surgery | 6550 Fannin Street Suite 2500, The Methodist Hospital,center for Orthopaedic Surgery, Houston, TX 77030 | 2008-11-24 |
| 1023260478 | Jesse James Ferraris Exaltacion | Orthopaedic Surgery | 6550 Fannin St., Suite 2500 The Methodist Hospital, Center for Orthopaed, Houston, TX 77030 | 2008-10-16 |
| 1043483134 | Michael C Cusick | Orthopaedic Surgery | 601 Rockmead Dr Ste 100, Kingwood, TX 77339-2107 | 2008-04-09 |
| 1972787927 | Farbod Malek | Orthopaedic Surgery | 2122 Babcock Rd, Suite 101, San Antonio, TX 78229-4411 | 2007-12-27 |
| 1003018086 | Mario Joseph Quesada | Orthopaedic Surgery | 1201 E Alton Gloor Blvd, Suite B, Brownsville, TX 78526-3831 | 2007-06-01 |
| 1750400636 | Louise Marie Brooker | Orthopaedic Surgery | 4514 Cornell St, Suite B, Amarillo, TX 79109-5800 | 2007-03-29 |
| 1457429375 | The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | 19138 Us Highway 281 N Ste 100, San Antonio, TX 78258-4988 | 2006-11-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.