Kenneth Victor Miselis (NPI# 1730154592, PAC ID# 3971652397) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1730154592 |
| PAC ID by PECOS | 3971652397 |
| Professional Enrollment ID | I20090514000187 |
| Full Name | Kenneth Victor Miselis |
| Organization Legal Name | KENNETH V. MISELIS, M.D. INC. |
| Address |
445 W Poplar St Stockton CA 95203-2426 |
| Phone Number | 2094655933 |
| Gender | M |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6507800778 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050014 | SUTTER AMADOR HOSPITAL |
| 050122 | DAMERON HOSPITAL |
| 050118 | DOCTORS HOSPITAL OF MANTECA |
| Address | Phone | Organization |
|---|---|---|
| 445 W Poplar St, Stockton, CA 95203-2426 | 2094655933 | KENNETH V. MISELIS, M.D. INC. |
| Organization Legal Name | KENNETH V. MISELIS, M.D. INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Japjeet Kaur Gill | Optometry | Kenneth V. Miselis, M.d. Inc. | 445 W Poplar St, Stockton, CA 95203-2426 |
| Street Address |
445 W POPLAR ST |
| City | STOCKTON |
| State | CA |
| Zip | 95203-2426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Japjeet Kaur Gill | Optometry | Kenneth V. Miselis, M.d. Inc. | 445 W Poplar St, Stockton, CA 95203-2426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Southmayd | Obstetrics/gynecology | 420 W Acacia, Suite 11, Stockton, CA 95203 | |
| Ravi V Sharma | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Nicholas Tinnesz | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Tarandeep S Arora | Hospitalist | Hospitalist Medicine Physicians of California - Stockton, PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Jasleen K Khaira | Nurse Practitioner | California Em-i Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Ahmed Y Javed | Hospitalist | Hospitalist Medicine Physicians of California - Stockton, PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Aliasghar Mohyuddin | Internal Medicine | Hospitalist Medicine Physicians of California - Stockton, PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Brian A Reuter | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Joshua Kolb | Emergency Medicine | Jesmond Ridge Medical Services A Medical Corporation | 525 W Acacia St, Stockton, CA 95203-2405 |
| Sreekanth Murupudi | Internal Medicine | Hospitalist Medicine Physicians of California - Stockton, PC | 525 W Acacia St, Stockton, CA 95203-2405 |
| Find all physicians in zip 95203 | |||
| City | STOCKTON |
| Zip Code | 95203 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | STOCKTON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Kenneth Victor Miselis.
| 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.