Kenneth T Darvin (NPI# 1427021450, PAC ID# 0345205142) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1427021450 |
| PAC ID by PECOS | 0345205142 |
| Professional Enrollment ID | I20041122000166 |
| Full Name | Kenneth T Darvin |
| Organization Legal Name | ST. ANTHONY SHAWNEE HOSPITAL, INC. |
| Address |
1102 W Macarthur St Shawnee OK 74804-1743 |
| Phone Number | 4058788110 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052567328 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370149 | ST ANTHONY SHAWNEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1102 W Macarthur St, Shawnee, OK 74804-1743 | 4058788110 | ST. ANTHONY SHAWNEE HOSPITAL, INC. |
| Organization Legal Name | ST. ANTHONY SHAWNEE HOSPITAL, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sudhir K Gupta | Cardiovascular Disease (cardiology) | St. Anthony Shawnee Hospital, Inc. | 1900 Gordon Cooper Dr, Shawnee, OK 74801-8603 |
| Lara D Mashek | Family Medicine | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Gaynell M Schieber Anderson | Family Medicine | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Kristy J Herman | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Martin Mcintosh | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Kevin D Johnson | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Travis D Thompson | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Eric Shane Olson | Nurse Practitioner | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Troy R Norred | Cardiovascular Disease (cardiology) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Traci Phuong Tran | Physician Assistant | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Street Address |
1102 W MACARTHUR ST |
| City | SHAWNEE |
| State | OK |
| Zip | 74804-1743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lara D Mashek | Family Medicine | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Melisa G. Boersma | Radiation Oncology | Radiation Medicine Associates, P.C. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Gaynell M Schieber Anderson | Family Medicine | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Kristy J Herman | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Samuel N Jones | Pathology | 1102 W Macarthur St, Shawnee, OK 74804-1743 | |
| Martin Mcintosh | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Kevin D Johnson | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Travis D Thompson | Certified Registered Nurse Anesthetist (crna) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Eric Shane Olson | Nurse Practitioner | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Troy R Norred | Cardiovascular Disease (cardiology) | St. Anthony Shawnee Hospital, Inc. | 1102 W Macarthur St, Shawnee, OK 74804-1743 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Royce Lee Bargas | Cardiovascular Disease (cardiology) | 3700 N Kickapoo Ave, Suite 104, Shawnee, OK 74804-0007 | |
| Kaylan Lanell Bell | Nurse Practitioner | Citizen Potawatomi Nation | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 |
| Katie L. Frost | Nurse Practitioner | 4409 N Kickapoo Ave, Magnolia Clinic, Shawnee, OK 74804-1225 | |
| Britton Liron Adams | Optometry | Shawnee Eye Associates, Pllc | 100 E 45th St, Shawnee, OK 74804-1439 |
| Travis Kliewer | Optometry | Shawnee Eye Associates, Pllc | 100 E 45th St, Shawnee, OK 74804-1439 |
| Desiree Christine Dunlavy | Physical Therapy | Ptms 3.0 LLC | 3930 N Kickapoo Ave, Shawnee, OK 74804-1635 |
| Calyn C Russ | Qualified Audiologist | Hearing Health Care Inc | 3954 N Kickapoo Ave, Suite 5, Shawnee, OK 74804-1635 |
| Kurt Kalies | Qualified Audiologist | Hearing Health Care Inc | 3954 N Kickapoo Ave, Suite 5, Shawnee, OK 74804-1635 |
| Scott K Howard | Physical Therapy | Valir Outpatient Clinics LLC | 3306 N Kickapoo Ave, Suite 200, Shawnee, OK 74804-1717 |
| Janet E Pasquali Bowers | Nurse Practitioner | Ohh Physicians LLC | 3306 N Kickapoo, Suite 150 and 154, Shawnee, OK 74804-1718 |
| Find all physicians in zip 74804 | |||
| City | SHAWNEE |
| Zip Code | 74804 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHAWNEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth T Darvin.
| 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.