Kenneth W Defontes Iii (NPI# 1134415706, PAC ID# 0143592543) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1134415706 |
| PAC ID by PECOS | 0143592543 |
| Professional Enrollment ID | I20180824000543 |
| Full Name | Kenneth W Defontes Iii |
| Organization Legal Name | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| Address |
201 Plumtree Rd Suite 301 Bel Air MD 21015-6044 |
| Phone Number | 4105698587 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0941455794 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210063 | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 | 4105698587 | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| 9110 Philadelphia Rd, Suite 308, Rosedale, MD 21237-4327 | 4105698587 | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| 7505 Osler Dr, Suite 104, Towson, MD 21204-7737 | 4105698587 | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| 8322 Bellona Ave, Towson, MD 21204-2065 | 4103283645 | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| 8322 Bellona Ave, Suite 300, Towson, MD 21204-2077 | 4103377900 | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| Organization Legal Name | UNIVERSITY OF MARYLAND ST. JOSEPH ORTHOPAEDICS, LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Marchesiello | Physician Assistant | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Paul C Mcafee | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| Earl C Matthews | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Liana G Chotikul | Nurse Practitioner | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| David F Dalury | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Colleen N Rice | Physician Assistant | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| Michael D Dabbah | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Timothy P Codd | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| Mark V Clough | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Alvin J Detterline Iv | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 8322 Bellona Ave, Towson, MD 21204-2065 |
| Street Address |
201 PLUMTREE RD SUITE 301 |
| City | BEL AIR |
| State | MD |
| Zip | 21015-6044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Christopher Cleary | Urology | Chesapeake Urology Associates LLC | 201 Plumtree Rd, Suite 210, Bel Air, MD 21015-6053 |
| Gregory D Marchesiello | Physician Assistant | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Kannan Manickam | Urology | Chesapeake Urology Associates LLC | 201 Plumtree Rd, Suite 210, Bel Air, MD 21015-6053 |
| Earl C Matthews | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Oluwaseun O Babalola | Diagnostic Radiology | Advanced Radiology Pa | 201 Plumtree Rd, Suite 101, Bel Air, MD 21015-6055 |
| Abigail Trader Schumacher | Physical Therapy | University of Maryland Medical Regional Professional Services, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| David F Dalury | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Christina Lewis | Physical Therapy | University of Maryland Medical Regional Professional Services, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Shu Li | Diagnostic Radiology | Advanced Radiology Pa | 201 Plumtree Rd, Suite 101, Bel Air, MD 21015-6055 |
| Michael D Dabbah | Orthopedic Surgery | University of Maryland St. Joseph Orthopaedics, LLC | 201 Plumtree Rd, Suite 301, Bel Air, MD 21015-6044 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Maria Grillo | Optometry | 2511 Cool Spring Rd, Bel Air, MD 21015-1305 | |
| Brian Edward Evans | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| John Taylor | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Julie Anna Shahan | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Bryan M Dye | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Megan Nicole Osanitsch | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Stacey L Schorr | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Jennifer H Patrick | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Mariah L Buffington | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Meghann Kolibas | Physical Therapy | Agape Physical Therapy and Sports Rehabilitation Lp | 2304 E Churchville Rd, Bel Air, MD 21015-1721 |
| Find all physicians in zip 21015 | |||
| City | BEL AIR |
| Zip Code | 21015 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BEL AIR + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kenneth W Defontes Iii.
| 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.