Kevin X Mckennan (NPI# 1356344022, PAC ID# 2365511409) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1356344022 |
| PAC ID by PECOS | 2365511409 |
| Professional Enrollment ID | I20081223000221 |
| Full Name | Kevin X Mckennan |
| Organization Legal Name | SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC |
| Address |
1111 Exposition Blvd Suite 700 Sacramento CA 95815-4314 |
| Phone Number | 9167363399 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1978 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 6204905342 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050108 | SUTTER MEDICAL CENTER, SACRAMENTO |
| 050335 | ADVENTIST HEALTH SONORA |
| Address | Phone | Organization |
|---|---|---|
| 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314 | 9167363399 | SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SACRAMENTO EAR NOSE AND THROAT SURGICAL AND MEDICAL GROUP INC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Tersilla Ledda | Qualified Audiologist | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 10200 Trinity Pkwy, Suite 201, Stockton, CA 95219-7288 |
| Parita Shah | Physician Assistant | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 6600 Mercy Ct, Suite 180, Fair Oaks, CA 95628-3198 |
| Timothy A Fife | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 2 Medical Plaza Dr, Suite 225, Roseville, CA 95661-3044 |
| Michael J Kearns | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 6600 Mercy Ct, Suite 180, Fair Oaks, CA 95628-3198 |
| David S Goldfarb | Physician Assistant | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 6600 Mercy Ct, Suite 180, Fair Oaks, CA 95628-3198 |
| Ronald George Dong | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 10200 Trinity Pkwy, Suite 201, Stockton, CA 95219-7288 |
| Eli Robert Groppo | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1561 Creekside Dr, Suite 180, Folsom, CA 95630-3495 |
| Philip Bernstein | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314 |
| James H Griffitts | Qualified Audiologist | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314 |
| Evelyn Keaton | Nurse Practitioner | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1528 Eureka Rd, Suite 102, Roseville, CA 95661-3047 |
| Street Address |
1111 EXPOSITION BLVD SUITE 700 |
| City | SACRAMENTO |
| State | CA |
| Zip | 95815-4314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Pai | Nephrology | Capitol Nephrology Medical Group | 1111 Exposition Blvd, Suite 300, Sacramento, CA 95815-4324 |
| Elena V Gelfand | Nephrology | Capitol Nephrology Medical Group | 1111 Exposition Blvd, Suite 300, Sacramento, CA 95815-4324 |
| Jason A Park | General Surgery | 1111 Exposition Blvd, Bldg 400 Suite A, Sacramento, CA 95815-4314 | |
| Vijay Mudunuri | Nephrology | Capitol Nephrology Medical Group | 1111 Exposition Blvd, Suite 300, Sacramento, CA 95815-4324 |
| Philip Bernstein | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314 |
| James H Griffitts | Qualified Audiologist | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314 |
| David A Evans | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314 |
| Brent Jason Benscoter | Otolaryngology | Sacramento Ear Nose and Throat Surgical and Medical Group Inc | 1111 Exposition Blvd, Suite 700, Sacramento, CA 95815-4314 |
| Syed Asad Ali | Nephrology | Capitol Nephrology Medical Group | 1111 Exposition Blvd, Suite 300, Sacramento, CA 95815-4324 |
| Ratnaji B Nallamothu | Nephrology | Capitol Nephrology Medical Group | 1111 Exposition Blvd, Suite 300, Sacramento, CA 95815-4324 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antoine Dipsia | Family Medicine | Elica Health Centers | 3234 Marysville Blvd, Sacramento, CA 95815-1411 |
| Sandra I Odiase | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 3234 Marysville Blvd, Sacramento, CA 95815-1411 |
| Jung Park | Pediatric Medicine | Joseph M Molina Md Professional Corporation-southern California | 3234 Marysville Blvd, Sacramento, CA 95815-1411 |
| Tanya Rogers | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 3234 Marysville Blvd, Sacramento, CA 95815-1411 |
| Catherine J Stephens | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 3234 Marysville Blvd, Sacramento, CA 95815-1411 |
| Zaka U Vera | Internal Medicine | Joseph M Molina Md Professional Corporation-southern California | 3234 Marysville Blvd, Sacramento, CA 95815-1411 |
| Philip D Ford | Physician Assistant | Palatnik Medical Corporation | 2469 Rio Linda Blvd, Suite A, Sacramento, CA 95815-2216 |
| Ni Ni Hla | Psychiatry | Mark David Levine Md Psychiatrists Professional Corporation | 2180 Harvard St, Suite 210, Sacramento, CA 95815-3318 |
| Anoopinder Singh | Psychiatry | Mark David Levine Md Psychiatrists Professional Corporation | 2180 Harvard St, Sacramento, CA 95815-3318 |
| John S Baskett | Optometry | Thomas H Murphy Od Inc | 1689 Arden Way, Sacramento, CA 95815-4096 |
| Find all physicians in zip 95815 | |||
| City | SACRAMENTO |
| Zip Code | 95815 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SACRAMENTO + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Kevin X Mckennan.
| 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.