Kenneth Wayne Kooser (NPI# 1306920772, PAC ID# 1355533076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1306920772 |
| PAC ID by PECOS | 1355533076 |
| Professional Enrollment ID | I20130604000722 |
| Full Name | Kenneth Wayne Kooser |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
1620 Cooper Point Swrd Olympia WA 98506-5736 |
| Phone Number | 3067543380 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709782600 |
| Number of Group Practice Members | 315 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| 500019 | PROVIDENCE CENTRALIA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1620 Cooper Point Swrd, Olympia, WA 98506-5736 | 3067543380 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
1620 COOPER POINT SWRD |
| City | OLYMPIA |
| State | WA |
| Zip | 98506-5736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penelope A Goode | Emergency Medicine | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Terra J Grandmason | Nurse Practitioner | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Andrew P Patel | Family Medicine | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Justin Daniel Wheeler | Family Medicine | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Molly A Mellon | Nurse Practitioner | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Samantha H Lacanlale | Nurse Practitioner | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Ravneet Jaura | Family Medicine | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Laura M Yates | Family Medicine | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Debra J Gross | Nurse Practitioner | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Tracee J Karlson | Physical Therapy | Providence Health and Services Washington | 1620 Cooper Point Swrd, Olympia, WA 98506-5736 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew P Rosser | Chiropractic | 705 4th Ave E, Suite 102, Olympia, WA 98506-3929 | |
| Martha H Henderson | Nurse Practitioner | Molly Henderson Arnp Inc | 1005 Olympia Neave, Olympia, WA 98506-4033 |
| Molly J Staley | Clinical Social Worker | 1204 4th Ave E Stuite, 1 Marriage and Family Therapy Associates LLC, Olympia, WA 98506-4276 | |
| Joseph D Byus | Chiropractic | 1709 State Ave Ne, Olympia, WA 98506-4556 | |
| Roy C Evans | Chiropractic | 1709 State Ave Ne, Olympia, WA 98506-4556 | |
| Donald R Lathrop Jr. | Chiropractic | 1728 State Ave Ne, Capitol Chiropractic and Family Wellness, Olympia, WA 98506-4557 | |
| Rick A Calcara | Chiropractic | 1946 4th Ave E, Olympia, WA 98506-4632 | |
| Marjean Swartling | Chiropractic | 1920 State Ave Ne, Olympia, WA 98506-4652 | |
| Jerod Scott Stanley | Podiatry | Stanley and Utterback | 2828 Martin Way E, Olympia, WA 98506-4946 |
| Aaron K Utterback | Podiatry | Stanley and Utterback | 2828 Martin Way E, Olympia, WA 98506-4946 |
| Find all physicians in zip 98506 | |||
| City | OLYMPIA |
| Zip Code | 98506 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OLYMPIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth Wayne Kooser.
| 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.