Kathryn A Khandaker (NPI# 1417254764, PAC ID# 0749464436) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417254764 |
| PAC ID by PECOS | 0749464436 |
| Professional Enrollment ID | I20110404000750 |
| Full Name | Kathryn A Khandaker |
| Organization Legal Name | COMMUNITY MEMORIAL HOSPITAL |
| Address |
208 N Columbus Hicksville OH 43526-1250 |
| Phone Number | 4195426692 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547258907 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361301 | COMMUNITY MEMORIAL HOSPITAL |
| 360090 | ST LUKE'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 208 N Columbus, Hicksville, OH 43526-1250 | 4195426692 | COMMUNITY MEMORIAL HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 85% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 12% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 47% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 5% | |
| QCDR_EC_CDR10_overall | Vascular Assessment of patients with chronic leg ulcers | 20% | |
| QCDR_EC_CDR1_overall | Adequate Off-loading of Diabetic Foot Ulcer at each treatment visit | 71% | |
| QCDR_EC_CDR5_overall | Adequate Compression of Venous Leg Ulcers at each treatment visit | 68% |
| Organization Legal Name | COMMUNITY MEMORIAL HOSPITAL |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April M Lamunion | Nurse Practitioner | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Christina Valencia | Nurse Practitioner | Community Memorial Hospital | 3460 S St, Morrisville, NY 13408-9671 |
| Megan E Ashbacher | Nurse Practitioner | Community Memorial Hospital | 422 W River St, Antwerp Family Health, Antwerp, OH 45813-8417 |
| Dennis Blom | General Surgery | Community Memorial Hospital | 164 Broad St, Hamilton, NY 13346-9575 |
| Michael Kooistra Jr. | Family Medicine | Community Memorial Hospital | 104 S W St, Edgerton, OH 43517-9697 |
| Rowland J Rivero | Hospitalist | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Bryan D Kaplansky | Physical Medicine and Rehabilitation | Community Memorial Hospital | 3888 New Vision Dr, Fort Wayne, IN 46845-1708 |
| Scott A Waters | Family Medicine | Community Memorial Hospital | 18218 State Rd, Suite 37, Harlan, IN 46743-9609 |
| Shelby Sharp | Nurse Practitioner | Community Memorial Hospital | 117 W Main St, Waterville, NY 13480-1165 |
| Jessica L Slattery | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Street Address |
208 N COLUMBUS |
| City | HICKSVILLE |
| State | OH |
| Zip | 43526-1250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rowland J Rivero | Hospitalist | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Jessica L Slattery | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Todd M Wiley | Family Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Vasavi K Reddy | Family Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Cory T Hammond | Physician Assistant | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Matthew C Grothaus | Orthopedic Surgery | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Laverne L Miller | Family Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Tara L Garza | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Duane P Johnson | Family Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Jeffrey L Justice | General Surgery | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan D Bagley | Chiropractic | 102 Old Mill Rd, Hicksville, OH 43526-1096 | |
| Andrew W Oshaughnessy | Nephrology | Nephrology Associates of Northern Indiana PC | 208 Columbus St N, Hicksville, OH 43526-1250 |
| Gage M Caudell | Podiatry | Fort Wayne Orthopaedics, LLC | 208 N Columbus St, Hicksville, OH 43526-1250 |
| Johnathan R Haggerty | Chiropractic | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Jessica J Mendez | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Crystal Trabel | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Ellise S Koenn | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| John J Wukie | Emergency Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Kori L Strubing | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Angela M Johnson | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Find all physicians in zip 43526 | |||
| City | HICKSVILLE |
| Zip Code | 43526 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HICKSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathryn A Khandaker.
| 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.