Kenneth Joseph Fearn (NPI# 1326486127, PAC ID# 0648577528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1326486127 |
| PAC ID by PECOS | 0648577528 |
| Professional Enrollment ID | I20190517002037 |
| Full Name | Kenneth Joseph Fearn |
| Organization Legal Name | RADIOLOGY AND NUCLEAR MEDICINE LLC |
| Address |
1500 Sw 10th Ave Topeka KS 66604-1301 |
| Phone Number | 7853546000 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3274425772 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170086 | STORMONT VAIL HOSPITAL |
| 170016 | ST FRANCIS HEALTH CENTER |
| 170142 | MERCY REGIONAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1500 Sw 10th Ave, Topeka, KS 66604-1301 | 7853546000 | RADIOLOGY AND NUCLEAR MEDICINE LLC |
| 1500 Sw 10th Ave, Topeka, KS 66604-1301 | COTTON ONEIL CLINIC REVOCABLE TRUST | |
| 823 Sw Mulvane St, Topeka, KS 66606-1764 | 7852708880 | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Organization Legal Name | RADIOLOGY AND NUCLEAR MEDICINE LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody D Badura | Nurse Practitioner | Radiology and Nuclear Medicine LLC | 1303 Sw 1st American Pl, Topeka, KS 66604-4059 |
| Patrick James Landes | Diagnostic Radiology | Radiology and Nuclear Medicine LLC | 1110 Columbine Dr, Holton, KS 66436-8824 |
| James Wilson Owen | Diagnostic Radiology | Radiology and Nuclear Medicine LLC | 1110 Columbine Dr, Holton, KS 66436-8824 |
| Richard Marcus Schworm | Diagnostic Radiology | Radiology and Nuclear Medicine LLC | 1110 Columbine Dr, Holton, KS 66436-8824 |
| Marlin J Fugate | Diagnostic Radiology | Radiology and Nuclear Medicine LLC | 1110 Columbine Dr, Holton, KS 66436-8824 |
| Aaron Meggison | Diagnostic Radiology | Radiology and Nuclear Medicine LLC | 1110 Columbine Dr, Holton, KS 66436-8824 |
| Michelle M Jones | Nurse Practitioner | Radiology and Nuclear Medicine LLC | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| John Vadaparampil | Diagnostic Radiology | Radiology and Nuclear Medicine LLC | 1110 Columbine Dr, Holton, KS 66436-8824 |
| Frank Yackovich | Diagnostic Radiology | Radiology and Nuclear Medicine LLC | 1110 Columbine Dr, Holton, KS 66436-8824 |
| Stephen D Coon | Diagnostic Radiology | Radiology and Nuclear Medicine LLC | 1303 Sw 1st American Pl, Topeka, KS 66604-4059 |
| Street Address |
1500 SW 10TH AVE |
| City | TOPEKA |
| State | KS |
| Zip | 66604-1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad Alhariri | Hospitalist | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Matthew A Williams | Physician Assistant | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Mckenna K Blasi | Physician Assistant | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Amer Alshekh Mousa | Hospitalist | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Robin L. Mckay | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Thomas C Welton | Gastroenterology | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Joy T Hiramoto | Psychiatry | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Samuel F Brewer | Emergency Medicine | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Jonathan D Boyd | Pathology | Topeka Pathology Group LLC | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| William E Sachs | General Surgery | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Rodeheffer | Psychologist, Clinical | 907 Sw 10th Ave, Topeka, KS 66604-1101 | |
| Jeffrey P Rhoads | Hospitalist | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Armand Heyns | Emergency Medicine | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Rachel Tangney | Physician Assistant | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Ronald E Mcewen | Physician Assistant | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Joy-ann Tabanor-gayle | Rheumatology | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| James D Novak | Emergency Medicine | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Abhiram Duvvuri | Hospitalist | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Achuta Uppu | Hospitalist | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Adriana M Lozano Cubillos | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1500 Sw 10th Ave, Topeka, KS 66604-1301 |
| Find all physicians in zip 66604 | |||
| City | TOPEKA |
| Zip Code | 66604 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TOPEKA + DIAGNOSTIC RADIOLOGY |
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| 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.