Keith Kowal (NPI# 1528064201, PAC ID# 4082500236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1528064201 |
| PAC ID by PECOS | 4082500236 |
| Professional Enrollment ID | I20160215000657 |
| Full Name | Keith Kowal |
| Organization Legal Name | ENT CENTERS OF EXCELLENCE |
| Address |
1851 N Mckenzie St Suite 106 Foley AL 36535-4704 |
| Phone Number | 2519431117 |
| Gender | M |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | SLEEP MEDICINE |
| Group Practice PAC ID | 2860702891 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010083 | SOUTH BALDWIN REGIONAL MEDICAL CENTER |
| 010100 | THOMAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1851 N Mckenzie St, Suite 106, Foley, AL 36535-4704 | 2519431117 | ENT CENTERS OF EXCELLENCE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ENT CENTERS OF EXCELLENCE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mallory Mozley Nottenkamper | Physician Assistant | Ent Centers of Excellence | 1851 N Mckenzie St, Suite 106, Foley, AL 36535-4704 |
| Kimberly W Brown | Qualified Audiologist | Ent Centers of Excellence | 1851 N Mckenzie St, Suite 106, Foley, AL 36535-4704 |
| Street Address |
1851 N MCKENZIE ST SUITE 106 |
| City | FOLEY |
| State | AL |
| Zip | 36535-4704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol P Motley | Family Medicine | Foley Clinic Corp. | 1851 N Mckenzie St, Suite 101, Foley, AL 36535-4703 |
| Tiffany Wilson Wade | Nurse Practitioner | Foley Clinic Corp. | 1851 N Mckenzie St, Suite 101, Foley, AL 36535-4703 |
| Erin D Prendergast | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 1851 N Mckenzie St, Suite 206, Foley, AL 36535-4702 |
| Kimberly Waynette Roman | Family Medicine | Foley Clinic Corp. | 1851 N Mckenzie St, Suite 101, Foley, AL 36535-4703 |
| Gregory W Jones | Family Medicine | Foley Clinic Corp. | 1851 N Mckenzie St, Suite 101, Foley, AL 36535-4703 |
| Timothy Francis Mott | Family Medicine | Foley Clinic Corp. | 1851 N Mckenzie St, Suite 101, Foley, AL 36535-4703 |
| Mallory Mozley Nottenkamper | Physician Assistant | Ent Centers of Excellence | 1851 N Mckenzie St, Suite 106, Foley, AL 36535-4704 |
| Lee E Eslava | Internal Medicine | Sacred Heart Hospital of Pensacola | 1851 N Mckenzie St, Suite 206, Foley, AL 36535-4702 |
| Billy August | Internal Medicine | Sacred Heart Hospital of Pensacola | 1851 N Mckenzie St, Suite 206, Foley, AL 36535-4702 |
| Kimberly W Brown | Qualified Audiologist | Ent Centers of Excellence | 1851 N Mckenzie St, Suite 106, Foley, AL 36535-4704 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Aliment | Chiropractic | Family Tree Chiropractic LLC | 8158 Hwy 59 106, Foley, AL 36535 |
| Charles V Buckmaster | General Practice | 8158 Hwy 59 107, Foley, AL 36535 | |
| Michael G Waters | Urology | 102 Greentree Lane, Foley, AL 36535 | |
| Christopher S Aliment | Chiropractic | Family Tree Chiropractic LLC | 8158 Hwy 59 106, Foley, AL 36535 |
| Jimmy Steven Hankins | Family Medicine | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Gregory T Bonds | Physical Therapy | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Sandra R Alexander | General Practice | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Amanda R Brantley | Nurse Practitioner | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Howard D Salter | Physical Therapy | 780 W Laurel Ave, Foley, AL 36535-1348 | |
| Jason Presley | Physician Assistant | Immediate Care Foley, LLC | 1265 S Mckenzie St, Foley, AL 36535-1818 |
| Find all physicians in zip 36535 | |||
| City | FOLEY |
| Zip Code | 36535 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | FOLEY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Keith Kowal.
| 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.