Keith Konkol (NPI# 1730255340, PAC ID# 1456480896) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1730255340 |
| PAC ID by PECOS | 1456480896 |
| Professional Enrollment ID | I20171017002380 |
| Full Name | Keith Konkol |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
920 Compassion Cir Anchorage AK 99504-1645 |
| Phone Number | 9072129200 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 1557408176 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020001 | PROVIDENCE ALASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 920 Compassion Cir, Anchorage, AK 99504-1645 | 9072129200 | 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 |
920 COMPASSION CIR |
| City | ANCHORAGE |
| State | AK |
| Zip | 99504-1645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Triin T Minton | Family Medicine | Providence Health and Services Washington | 920 Compassion Cir, Anchorage, AK 99504-1645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Michaeles | Cardiovascular Disease (cardiology) | Aer Medical LLC | 9100 Centennial Cir, Anchorage, AK 99504-1480 |
| Alvaro E Rosales | Internal Medicine | Aer Medical LLC | 9100 Centennial Cir, Anchorage, AK 99504-1480 |
| Elizabeth Martinez Augustin | Internal Medicine | Providence Health and Services Washington | 910 Compassion Cir, Anchorage, AK 99504-1645 |
| Genna Fox | Nurse Practitioner | Providence Health and Services Washington | 910 Compassion Cir, Anchorage, AK 99504-1645 |
| Isabel Vesely | Nurse Practitioner | Patients First Medical Clinic LLC | 6307 Debarr Rd C, Anchorage, AK 99504-1783 |
| Stephanie Wrightsman Birch | Nurse Practitioner | Patients First Medical Clinic LLC | 6307 Debarr Rd C, Anchorage, AK 99504-1783 |
| Bennett J Jackson | Nurse Practitioner | Patients First Medical Clinic LLC | 6307 Debarr Rd C, Anchorage, AK 99504-1783 |
| Faye Sai Duchanin | Physician Assistant | Patients First Medical Clinic LLC | 6307 Debarr Rd C, Anchorage, AK 99504-1783 |
| Lisa Jackson | Nurse Practitioner | Patients First Medical Clinic LLC | 6307 Debarr Rd C, Anchorage, AK 99504-1783 |
| Stanley G Trekell | Chiropractic | Anchorage Spinal Care Center LLC | 6711 Debarr Rd, Anchorage, AK 99504-1803 |
| Find all physicians in zip 99504 | |||
| City | ANCHORAGE |
| Zip Code | 99504 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ANCHORAGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Keith Konkol.
| 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.