Kenneth Smith Jr. (NPI# 1760431209, PAC ID# 2365488111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1760431209 |
| PAC ID by PECOS | 2365488111 |
| Professional Enrollment ID | I20051111000059 |
| Full Name | Kenneth Smith Jr. |
| Organization Legal Name | SOUTH JERSEY ANESTHESIA AND PAIN PHYSICIANS PC |
| Address |
163 Bridgeton Pike Bldg B Mullica Hill NJ 08062-2669 |
| Phone Number | 8564784222 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1996 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 0840181152 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310081 | INSPIRA MEDICAL CENTER WOODBURY |
| Address | Phone | Organization |
|---|---|---|
| 163 Bridgeton Pike, Bldg B, Mullica Hill, NJ 08062-2669 | 8564784222 | SOUTH JERSEY ANESTHESIA AND PAIN PHYSICIANS PC |
| 509 N Broad St, Woodbury, NJ 08096-1617 | 8568450100 | SOUTH JERSEY ANESTHESIA AND PAIN PHYSICIANS PC |
| Organization Legal Name | SOUTH JERSEY ANESTHESIA AND PAIN PHYSICIANS PC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis Boxer | Anesthesiology | South Jersey Anesthesia and Pain Physicians PC | 163 Bridgeton Pike, Bldg B, Mullica Hill, NJ 08062-2669 |
| Sheila Zeilmann | Certified Registered Nurse Anesthetist (crna) | South Jersey Anesthesia and Pain Physicians PC | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Lisa A Howey | Certified Registered Nurse Anesthetist (crna) | South Jersey Anesthesia and Pain Physicians PC | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Glenn M Dragon | Anesthesiology | South Jersey Anesthesia and Pain Physicians PC | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Michael Saveriano | Certified Registered Nurse Anesthetist (crna) | South Jersey Anesthesia and Pain Physicians PC | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Craig R Wagner | Anesthesiology | South Jersey Anesthesia and Pain Physicians PC | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Marc Telesphore Rousseau | Anesthesiology | South Jersey Anesthesia and Pain Physicians PC | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Christina M Tortella | Certified Registered Nurse Anesthetist (crna) | South Jersey Anesthesia and Pain Physicians PC | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Michael J Davis | Anesthesiology | South Jersey Anesthesia and Pain Physicians PC | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Robert J Harowitz | Anesthesiology | South Jersey Anesthesia and Pain Physicians PC | 509 N Broad St, Woodbury, NJ 08096-1617 |
| Street Address |
163 BRIDGETON PIKE BLDG B |
| City | MULLICA HILL |
| State | NJ |
| Zip | 08062-2669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis Boxer | Anesthesiology | South Jersey Anesthesia and Pain Physicians PC | 163 Bridgeton Pike, Bldg B, Mullica Hill, NJ 08062-2669 |
| Janine M Dronson | Certified Registered Nurse Anesthetist (crna) | South Jersey Anesthesia and Pain Physicians PC | 163 Bridgeton Pike, Bldg B, Mullica Hill, NJ 08062-2669 |
| Kelly Smith | Certified Registered Nurse Anesthetist (crna) | South Jersey Anesthesia and Pain Physicians PC | 163 Bridgeton Pike, Bldg B, Mullica Hill, NJ 08062-2669 |
| Christopher J Drissel | Certified Registered Nurse Anesthetist (crna) | South Jersey Anesthesia and Pain Physicians PC | 163 Bridgeton Pike, Bldg B, Mullica Hill, NJ 08062-2669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claudine M De Dan | Family Medicine | 34 Colson Ln, Suite B, Mullica Hill, NJ 08062-1502 | |
| Byron S Hapner | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Anna J Hanson | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Leisa O Flynn | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Jeffrey Gibson | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Vivian Vega | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Lynsey M Beams | Obstetrics/gynecology | Regional Womens Health Group LLC | 34 Colson Ln, Mullica Hill, NJ 08062-1502 |
| Edward Pirolli | Family Medicine | Inspira Health Network Medical Group PC | 201 Tomlin Station Rd, Suite D, Mullica Hill, NJ 08062-1612 |
| Peter A Sarkos | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 201 Tomlin Station Rd C, Mullica Hill, NJ 08062-1612 |
| Eddie S Wu | Orthopedic Surgery | Premier Orthopaedic and Sports Medicine Assoc of Southern Nj LLC | 201 Tomlin Station Rd C, Mullica Hill, NJ 08062-1612 |
| Find all physicians in zip 08062 | |||
| City | MULLICA HILL |
| Zip Code | 08062 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | MULLICA HILL + ANESTHESIOLOGY |
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| 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.