Kenyn L. Koop (NPI# 1124507439, PAC ID# 1557691987) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124507439 |
| PAC ID by PECOS | 1557691987 |
| Professional Enrollment ID | I20190926002560 |
| Full Name | Kenyn L. Koop |
| Organization Legal Name | MERCY HEALTH SYSTEM CORPORATION |
| Address |
849 Kellogg Ave Janesville WI 53546-2808 |
| Phone Number | 6087557960 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416860440 |
| Number of Group Practice Members | 496 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520066 | MERCY HEALTH SYSTEM CORP |
| Address | Phone | Organization |
|---|---|---|
| 849 Kellogg Ave, Janesville, WI 53546-2808 | 6087557960 | MERCY HEALTH SYSTEM CORPORATION |
| 725 S Janesville St, Milton, WI 53563-1775 | 6088685800 | MERCY HEALTH SYSTEM CORPORATION |
| Organization Legal Name | MERCY HEALTH SYSTEM CORPORATION |
| Physicians | 476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer C Finch | Nurse Practitioner | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Shannon R Vokac | Qualified Audiologist | Mercy Health System Corporation | 390 Congress Pkwy, Crystal Lake Med Ctr East, Crystal Lake, IL 60014-6207 |
| Amy Sosa | Psychologist, Clinical | Mercy Health System Corporation | N2846 State Rd, Suite 67, Williams Bay, WI 53191-3771 |
| David M Francis | Radiation Oncology | Mercy Health System Corporation | 1000 Mineral Point Ave, Janesville, WI 53548-2940 |
| Andrew J Bridge | Family Medicine | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Imad M Aziz | Family Medicine | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
| Corinne M Hansen | Physician Assistant | Mercy Health System Corporation | 3400 Deerfield Dr, Janesville, WI 53546-3557 |
| Karina L Quinn | Plastic and Reconstructive Surgery | Mercy Health System Corporation | N2950 State Rd, Suite 67, Lake Geneva, WI 53147-2655 |
| Baby Min Than | Family Medicine | Mercy Health System Corporation | 2000 Lake Ave, Woodstock, IL 60098-7401 |
| Syed Hassan | Family Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Street Address |
849 KELLOGG AVE |
| City | JANESVILLE |
| State | WI |
| Zip | 53546-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy S Reid | Family Medicine | Mercy Health System Corporation | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Benjamin R Banks | Family Medicine | Mercy Health System Corporation | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Suhail A Shaikh | Family Medicine | Mercy Health System Corporation | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Shakirat A. Bello | Family Medicine | Mercy Health System Corporation | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Jared L Stahlecker | Family Medicine | Mercy Health System Corporation | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Keith E Cooper | Family Medicine | Mercy Health System Corporation | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Kelsey Paige Pendleton | Family Medicine | Mercy Health System Corporation | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Jacob A. Landvatter | Family Medicine | Mercy Health System Corporation | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Farhana Hamid-scanlin | Nurse Practitioner | Community Health Systems, Inc. | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Saba Khan | Family Medicine | Mercy Health System Corporation | 849 Kellogg Ave, Janesville, WI 53546-2808 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Nellessen | Physical Therapy | Wellness Physical Therapy, LLC | 45389 Woodgate Dr A, Janesville, WI 53546 |
| Christine A Koth | Physical Therapy | Wellness Physical Therapy, LLC | 45389 Woodgate Dr A, Janesville, WI 53546 |
| Herbert T Webb Iii | Optometry | 1205 Suffolk Dr, Janesville, WI 53546-1606 | |
| Andrew J Bridge | Family Medicine | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Janet Barkhou | Family Medicine | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Muhammad A. Saleem | Family Medicine | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Ryndon N Bautista | Internal Medicine | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Susan K Baird | Nurse Practitioner | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Cameron C Brewer | Psychologist, Clinical | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Kristen M Goelzer | Pediatric Medicine | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Find all physicians in zip 53546 | |||
| City | JANESVILLE |
| Zip Code | 53546 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JANESVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenyn L. Koop.
| 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.