Phillip R Kingma (NPI# 1629038419, PAC ID# 1951402635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629038419 |
| PAC ID by PECOS | 1951402635 |
| Professional Enrollment ID | I20070725000198 |
| Full Name | Phillip R Kingma |
| Organization Legal Name | MIDWEST PAIN INSTITUTE CENTER FOR MINIMALLY INVASIVE SPINE PC |
| Address |
12289 Hancock St Suite 34 Carmel IN 46032-5801 |
| Phone Number | 3178158950 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5597718791 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12289 Hancock St, Suite 34, Carmel, IN 46032-5801 | 3178158950 | MIDWEST PAIN INSTITUTE CENTER FOR MINIMALLY INVASIVE SPINE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | MIDWEST PAIN INSTITUTE CENTER FOR MINIMALLY INVASIVE SPINE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Katherine Witcher | Nurse Practitioner | Midwest Pain Institute Center for Minimally Invasive Spine PC | 12289 Hancock St, Suite 34, Carmel, IN 46032-5801 |
| Steven E Levine | Interventional Pain Management | Midwest Pain Institute Center for Minimally Invasive Spine PC | 12289 Hancock St, Suite 34, Carmel, IN 46032-5801 |
| Street Address |
12289 HANCOCK ST SUITE 34 |
| City | CARMEL |
| State | IN |
| Zip | 46032-5801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Katherine Witcher | Nurse Practitioner | Midwest Pain Institute Center for Minimally Invasive Spine PC | 12289 Hancock St, Suite 34, Carmel, IN 46032-5801 |
| Steven E Levine | Interventional Pain Management | Midwest Pain Institute Center for Minimally Invasive Spine PC | 12289 Hancock St, Suite 34, Carmel, IN 46032-5801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Turner | Physical Therapy | 15026 Greyhound Ct, Suite A, Carmel, IN 46032-1016 | |
| Mark Daniel Jones | Chiropractic | 13632 N Meridian, Carmel, IN 46032-1358 | |
| Richard D Zeph | Plastic and Reconstructive Surgery | 13590 -b N Meridian St, Suite 201, Carmel, IN 46032-1409 | |
| John S Pittman | Colorectal Surgery (proctology) | Midwest Colon and Rectal Surgery Inc | 13421 Old Meridian St, Suite 210, Carmel, IN 46032-1411 |
| Patrick Y Park | Colorectal Surgery (proctology) | Midwest Colon and Rectal Surgery Inc | 13421 Old Meridian St, Suite 210, Carmel, IN 46032-1411 |
| Sebastian C Peers | Hand Surgery | Reconstructive Hand To Shoulder of Indiana, LLC | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-1417 |
| Maureen Stark | Occupational Therapy | Reconstructive Hand To Shoulder of Indiana, LLC | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-1417 |
| Sheila O Roumpf | Pathology | Ameripath Indianapolis PC | 13500 N Meridian St Pathology Dept, Carmel, IN 46032-1456 |
| Gregory K Gahl | Family Medicine | American Health Network of Indiana LLC | 13500 N Meridian St, Carmel, IN 46032-1456 |
| Kimberly R Mauller | Family Medicine | American Health Network of Indiana LLC | 13500 N Meridian St, Carmel, IN 46032-1456 |
| Find all physicians in zip 46032 | |||
| City | CARMEL |
| Zip Code | 46032 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARMEL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Phillip R Kingma.
| 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.