Kenneth P Speak (NPI# 1780753137, PAC ID# 1052309457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1780753137 |
| PAC ID by PECOS | 1052309457 |
| Professional Enrollment ID | I20040504001276 |
| Full Name | Kenneth P Speak |
| Organization Legal Name | VIRGINIA HIGHLANDS ANESTHESIA PC |
| Address |
16000 Johnston Memorial Dr Abingdon VA 24211-7664 |
| Phone Number | 2762581000 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1981 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0648266437 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490114 | WELLMONT LONESOME PINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2762581000 | VIRGINIA HIGHLANDS ANESTHESIA PC |
| 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6063 | 4234343700 | TENNESSEE VALLEY ANESTHESIA ASSOCIATES LLC |
| 6801 Governor Gc Peery Hwy, Richlands, VA 24641-2194 | 8283985244 | MEDSTREAM ANESTHESIA PLLC |
| Organization Legal Name | VIRGINIA HIGHLANDS ANESTHESIA PC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward B Boyd | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Geraud B Moyers | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Bruce E Mcnulty | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Steve A Worrell | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Justin Scott Rose | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Kathleen J Wild | Anesthesiology | Virginia Highlands Anesthesia PC | 100 15th St Nw, Norton, VA 24273-1616 |
| Mark W Simcox | Anesthesiology | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Valerie A Bruce | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Carrie Lee Sheppard | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Michael A Ratliff | Certified Registered Nurse Anesthetist (crna) | Virginia Highlands Anesthesia PC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Street Address |
16000 JOHNSTON MEMORIAL DR |
| City | ABINGDON |
| State | VA |
| Zip | 24211-7664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David H Smith | General Surgery | Abingdon Physician Partners | 16000 Johnston Memorial Dr, Suite 101, Abingdon, VA 24211-7664 |
| Maung M Kyi | Nephrology | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, 213a, Abingdon, VA 24211-7659 |
| Melanie A Leight | Obstetrics/gynecology | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Suite 200, Abingdon, VA 24211-7664 |
| Lora D Reynolds | Nurse Practitioner | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, 112a, Abingdon, VA 24211-7659 |
| Carl Thurman Harrison | Nurse Practitioner | Western Virginia Regional Emergency Physicians LLC | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| Norah Ann Nutter | Nurse Practitioner | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Suite 200, Abingdon, VA 24211-7664 |
| Jacqueline L Laraway | Nurse Practitioner | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Suite 4, Abingdon, VA 24211-7664 |
| Brandon Scott Babcock | Internal Medicine | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, 4th, Abingdon, VA 24211-7664 |
| Ahmad N Hammad | Medical Oncology | Abingdon Physician Partners | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 |
| William J Baker | Internal Medicine | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Fl 7, Abingdon, VA 24211-7664 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahmoud Amarna | Pulmonary Disease | Blue Ridge Medical Management Corporation | 16000 Johnson Memorial Dr, Suite 112d, Abingdon, VA 24211-0000 |
| Jonathan T Swank | Internal Medicine | Blue Ridge Medical Management Corporation | 16000 Johnston Memorial Dr, Suite 213, Abingdon, VA 24211-0001 |
| Timothy M Davis | Medical Oncology | Abingdon Physician Partners | 16000 Johnston Memorial Dr, Suite 300, Abingdon, VA 24211-0005 |
| Lillian H Ogle | Clinical Social Worker | 390 Commerce Dr C, Abingdon, VA 24211-3876 | |
| Candace R Moore | Physical Therapy | 25298 Lee Hwy, Abingdon, VA 24211-7460 | |
| Dustin K Mcgann | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Doug W Rohr | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Meggon Noel Mink | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Whitney Peters | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Remona Carol Cordle | Physical Therapy | Benchmark Physical Therapy of Va, LLC | 26106 Lee Hwy, Abingdon, VA 24211-7502 |
| Find all physicians in zip 24211 | |||
| City | ABINGDON |
| Zip Code | 24211 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ABINGDON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kenneth P Speak.
| 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.