Kenneth A Edgar (NPI# 1649278904, PAC ID# 3577505023) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1649278904 |
| PAC ID by PECOS | 3577505023 |
| Professional Enrollment ID | I20050525000683 |
| Full Name | Kenneth A Edgar |
| Organization Legal Name | COLUMBUS RADIOLOGY PHYSICIANS LLC |
| Address |
373 Mccombs Rd Venetia PA 15367-1342 |
| Phone Number | 8127598271 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3971863416 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490024 | CARILION MEDICAL CENTER |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| 490089 | CARILION FRANKLIN MEMORIAL HOSPITAL |
| 490090 | CENTRA SOUTHSIDE COMMUNITY HOSPITAL, INC |
| 491302 | CARILION GILES COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2020 Walnut St, Apt 29l, Philadelphia, PA 19103-5839 | 8556877237 | DIRECT RADIOLOGY PLLC |
| 373 Mccombs Rd, Venetia, PA 15367-1342 | 8127598271 | COLUMBUS RADIOLOGY PHYSICIANS LLC |
| 373 Mccombs Rd, Venetia, PA 15367-1342 | 9542676650 | SOUTH FLORIDA MEDICAL IMAGING PA |
| 373 Mccombs Rd, Venetia, PA 15367-1342 | 8556877237 | RADIOLOGY CONSULTANTS OF LYNCHBURG INC |
| 373 Mccombs Rd, Venetia, PA 15367-1342 | DIRECT RADIOLOGY PLLC |
| Organization Legal Name | COLUMBUS RADIOLOGY PHYSICIANS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Marie Hand | Diagnostic Radiology | Columbus Radiology Physicians LLC | 2400 17th St, Columbus, IN 47201-5351 |
| Tony A Findley | Diagnostic Radiology | Columbus Radiology Physicians LLC | 2400 17th St, Columbus, IN 47201-5351 |
| Robert A Vogt | Interventional Radiology | Columbus Radiology Physicians LLC | 2400 17th St, Columbus, IN 47201-5351 |
| Sunah Caroline Kim Dorantes | Diagnostic Radiology | Columbus Radiology Physicians LLC | 2400 17th St, Columbus, IN 47201-5351 |
| Stephen James Matthews | Diagnostic Radiology | Columbus Radiology Physicians LLC | 2400 17th St, Columbus, IN 47201-5351 |
| Street Address |
373 MCCOMBS RD |
| City | VENETIA |
| State | PA |
| Zip | 15367-1342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Connolly | Diagnostic Radiology | Fands Radiology PC | 109 Equestrian Dr, Venetia, PA 15367-1189 |
| City | VENETIA |
| Zip Code | 15367 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | VENETIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kenneth A Edgar.
| 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.