Kenneth L Bradshaw (NPI# 1134197924, PAC ID# 3375531940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1134197924 |
| PAC ID by PECOS | 3375531940 |
| Professional Enrollment ID | I20040503001308 |
| Full Name | Kenneth L Bradshaw |
| Organization Legal Name | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT |
| Address |
1600 N 2nd St Clinton MO 64735-1192 |
| Phone Number | 6608855511 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 1976 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4688561814 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260175 | GOLDEN VALLEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 N 2nd St, Clinton, MO 64735-1192 | 6608855511 | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Organization Legal Name | GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura L Noble | Nurse Practitioner | Golden Valley Memorial Hospital District | 286 Chestnut St, Osceola, MO 64776-2930 |
| David W Wood | Family Medicine | Golden Valley Memorial Hospital District | 1771 Commercial St, Warsaw, MO 65355-3096 |
| Jennifer A Blair | Family Medicine | Golden Valley Memorial Hospital District | 100 S Tebo St, Windsor, MO 65360-1161 |
| Brendan P Bagley | Family Medicine | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| Karl J Haake | Anesthesiology | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| James C Clouse | Internal Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Alice C Ruttinger | Internal Medicine | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| Andrew D Rendoff | Physician Assistant | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Ryan C Bartholomew | Certified Registered Nurse Anesthetist (crna) | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Drew A Smith | Family Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Street Address |
1600 N 2ND ST |
| City | CLINTON |
| State | MO |
| Zip | 64735-1192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl J Haake | Anesthesiology | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| James C Clouse | Internal Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Andrew D Rendoff | Physician Assistant | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Ryan C Bartholomew | Certified Registered Nurse Anesthetist (crna) | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Drew A Smith | Family Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Daniel Clayton Searing | Certified Registered Nurse Anesthetist (crna) | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Susyn M Sanders | Certified Registered Nurse Anesthetist (crna) | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Mark D Vogt | Emergency Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Michael A Gilbert | Diagnostic Radiology | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Walter L Bender | Nephrology | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendan P Bagley | Family Medicine | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| Alice C Ruttinger | Internal Medicine | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| Daniel F Campbell | Certified Registered Nurse Anesthetist (crna) | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Crystal L Jones | Family Medicine | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| Stephen T. Malutich | Internal Medicine | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Marija Tonkovic Capin | Dermatology | Golden Valley Memorial Hospital District | 1602 N 2nd St, Golden Valley Medical Clinton, Clinton, MO 64735-1192 |
| James L Womack | Orthopedic Surgery | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Rong N. Sun | Nurse Practitioner | Town Square Emergency Associates Pllc | 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 |
| Donald E Conklin | Internal Medicine | Town Square Emergency Associates Pllc | 1600 N 2nd St, Golden Valley Memorial Hospital, Clinton, MO 64735-1192 |
| Richard H Woodland | Otolaryngology | Golden Valley Memorial Hospital District | 1600 N 2nd St, Clinton, MO 64735-1192 |
| Find all physicians in zip 64735 | |||
| City | CLINTON |
| Zip Code | 64735 |
| Specialty | PODIATRY |
| City + Specialty | CLINTON + PODIATRY |
Please comment or provide details below to improve the information on Kenneth L Bradshaw.
| 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.