Anthony Thomas Kaczmarek (NPI# 1306803754, PAC ID# 3779688833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1306803754 |
PAC ID by PECOS | 3779688833 |
Professional Enrollment ID | I20100810000108 |
Full Name | Anthony Thomas Kaczmarek |
Address |
1428 Hwy 72 E Rolla MO 65401-3988 |
Gender | M |
Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
Graduation Year | 1991 |
Primary Specialty | UROLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
261318 | SALEM MEMORIAL DISTRICT HOSPITAL |
260017 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
260024 | TEXAS COUNTY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1428 Hwy 72 E, Rolla, MO 65401-3988 |
Street Address |
1428 HWY 72 E |
City | ROLLA |
State | MO |
Zip | 65401-3988 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bohdan A Lebedowicz | Internal Medicine | Pcrmc Medical Group, Inc | 1800 White Columns Dr, Rolla Manor Care, Rolla, MO 65401-2044 |
Sean L Harris | Nurse Practitioner | South Central Missouri Community Health Center | 1081 E 18th St, Rolla, MO 65401-2448 |
Sharon Renee Anderson | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
Dixie Fox | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
Tim M Rhoads | Chiropractic | 1201 C Forum Dr, Rolla, MO 65401-2587 | |
Jacob G Heaberlin | Chiropractic | 1201 Forum Dr, Suite B, Rolla, MO 65401-2587 | |
Vernon Edward Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
David E Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
Joel Amos Leon Becerril | Urology | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Amy E Torres | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
Find all physicians in zip 65401 |
City | ROLLA |
Zip Code | 65401 |
Specialty | UROLOGY |
City + Specialty | ROLLA + UROLOGY |
Please comment or provide details below to improve the information on Anthony Thomas Kaczmarek.
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.