William Ross Green (NPI# 1205192747, PAC ID# 3476823022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1205192747 |
| PAC ID by PECOS | 3476823022 |
| Professional Enrollment ID | I20170714001278 |
| Full Name | William Ross Green |
| Organization Legal Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Address |
900 Medical Ctr Dr Suite 201 Sewell NJ 08080-2358 |
| Phone Number | 8445422273 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 2860616877 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310086 | JEFFERSON STRATFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 Medical Ctr Dr, Suite 201, Sewell, NJ 08080-2358 | 8445422273 | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Organization Legal Name | KENNEDY MEDICAL GROUP PRACTICE, P.C. |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria L Jackson | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2499 |
| Joseph Derose | Infectious Disease | Kennedy Medical Group Practice, P.C. | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 |
| Jodie Black | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 205 E Laurel Rd, Stratford, NJ 08084-1301 |
| Ashley Ferris | Obstetrics/gynecology | Kennedy Medical Group Practice, P.C. | 400 Medical Ctr Dr, Suite F, Sewell, NJ 08080-2362 |
| Nina Lane | Nurse Practitioner | Kennedy Medical Group Practice, P.C. | 18 E Laurel Rd, Stratford, NJ 08084-1327 |
| Deborah A Ubele | Family Medicine | Kennedy Medical Group Practice, P.C. | 1300 Liberty Pl, Sicklerville, NJ 08081-5710 |
| Rosemary A Decicco | Physician Assistant | Kennedy Medical Group Practice, P.C. | 457 Haddonfield Rd, Suite 110, Cherry Hill, NJ 08002-2223 |
| Duane R Monteith | Thoracic Surgery | Kennedy Medical Group Practice, P.C. | 333 Laurel Oak Rd, Voorhees, NJ 08043-4453 |
| Jennifer E Hummel | Obstetrics/gynecology | Kennedy Medical Group Practice, P.C. | 165 Princeton Ave, West Deptford, NJ 08096-3123 |
| Lisa C Dimedio | Internal Medicine | Kennedy Medical Group Practice, P.C. | 1 Regulus Dr A, Turnersville, NJ 08012-2427 |
| Street Address |
900 MEDICAL CTR DR SUITE 201 |
| City | SEWELL |
| State | NJ |
| Zip | 08080-2358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Roszkowski | Internal Medicine | Kennedy Medical Group Practice, P.C. | 900 Medical Ctr Dr, Suite 201, Sewell, NJ 08080-2358 |
| Michele Adrien Fantazzio | General Surgery | Kennedy Medical Group Practice, P.C. | 900 Medical Ctr Dr, Suite 201, Sewell, NJ 08080-2358 |
| Ana Maria Lopez | Hematology/oncology | Kennedy Medical Group Practice, P.C. | 900 Medical Ctr Dr, Suite 201, Sewell, NJ 08080-2358 |
| Robin R Wilson-smith | Obstetrics/gynecology | Kennedy Medical Group Practice, P.C. | 900 Medical Ctr Dr, Sewell, NJ 08080-2358 |
| Tamara A La Couture | Radiation Oncology | Kennedy Medical Group Practice, P.C. | 900 Medical Ctr Dr, Suite 100, Sewell, NJ 08080-2358 |
| Dane Ryan Cohen | Radiation Oncology | Kennedy Medical Group Practice, P.C. | 900 Medical Ctr Dr, Suite 100, Sewell, NJ 08080-2358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Mirsen | Neurology | Cmc Department of Medicine Group Pa | Bnkr Hl Plz, Suite 103, Sewell, NJ 08080 |
| Miles A Brumberg | Family Medicine | 601 Hurffville Crosskeys Rd, Sewell, NJ 08080-1748 | |
| Kevin J Kargman | Pediatric Medicine | 438 Ganttown Rd, Suite A7, Sewell, NJ 08080-1886 | |
| Raymond A Ferrara | Podiatry | Hess Bondi LLC | 438 Ganttown Rd, B4, Sewell, NJ 08080-1887 |
| Jack Bondi | Podiatry | Hess Bondi LLC | 438 Ganttown Rd, B4, Sewell, NJ 08080-1887 |
| David O Phillips | Chiropractic | 432 Ganttown Rd, Suite 106, Sewell, NJ 08080-1895 | |
| Maria Morris | Nurse Practitioner | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| Floriya Tkachuk Mattioli | Nurse Practitioner | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| Joseph Cavallaro | Family Medicine | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| David M Ringel | Ophthalmology | David M. Ringel, Do Pa | 101 A Kings Way W, Sewell, NJ 08080-2233 |
| Find all physicians in zip 08080 | |||
| City | SEWELL |
| Zip Code | 08080 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | SEWELL + RADIATION ONCOLOGY |
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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.