Kenneth Elliott Tenpenny (NPI# 1245469774, PAC ID# 4385768613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1245469774 |
| PAC ID by PECOS | 4385768613 |
| Professional Enrollment ID | I20160914002604 |
| Full Name | Kenneth Elliott Tenpenny |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Address |
336 Deerfield Rd Boone NC 28607-5008 |
| Phone Number | 3367162255 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4486564952 |
| Number of Group Practice Members | 1931 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340051 | WATAUGA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 336 Deerfield Rd, Boone, NC 28607-5008 | 3367162255 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| 1240 Huffman Mill Rd, Burlington, NC 27215-8700 | 3367162255 | WAKE FOREST EMERGENCY PROVIDERS |
| 434 Hospital Dr, Linville, NC 28646 | 3367162255 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Physicians | 1979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Joyce Kemp | Certified Nurse Midwife (cnm) | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Purvi Dilip Surti | Nurse Practitioner | Wake Forest University Health Sciences | 611 N Lindsay St, Suite 200, High Point, NC 27262-4318 |
| Luke Daniel Spencer | Family Medicine | Wake Forest University Health Sciences | 3020 Bonbrook Dr, Winston Salem, NC 27106-3020 |
| Randall Stephan Conrad | Internal Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Jessica Alexis Savas | Dermatology | Wake Forest University Health Sciences | 4618 Country Club Rd, Winston Salem, NC 27104-3520 |
| Kaila Renea Haskins | Nurse Practitioner | Wake Forest University Health Sciences | 618 S Main St, Reidsville, NC 27320-5020 |
| Kandi Byrd Sams | Nurse Practitioner | Wake Forest University Health Sciences | 799 Hickory Tree Rd, Suite B, Winston-salem, NC 27127-9243 |
| Cory Aaron Alcon | Physical Therapy | Wake Forest University Health Sciences | 755 Highland Oaks Dr, Suite 240, Winston Salem, NC 27103-7106 |
| Brandy Lanette Younts-davis | Nurse Practitioner | Wake Forest University Health Sciences | 306 Westwood Ave, Suite 401, High Point, NC 27262-4342 |
| David A Crowe | Family Medicine | Wake Forest University Health Sciences | 171 W Wilkes Medical Ctr Rd, Ferguson, NC 28624-8925 |
| Street Address |
336 DEERFIELD RD |
| City | BOONE |
| State | NC |
| Zip | 28607-5008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly K Sawyer | Nurse Practitioner | Wake Forest University Health Sciences | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Lisa Kaufmann | Internal Medicine | Watauga Medical Center Inc | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Tammy N Crumpler | Diagnostic Radiology | Watauga Radiological Services Pa | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Kevin Patrick Mckinney | Certified Registered Nurse Anesthetist (crna) | Watauga Medical Center Inc | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Henry D Cremisi | Hospitalist | Watauga Medical Center Inc | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Ramses C Masis | Family Medicine | Watauga Medical Center Inc | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Steven J Filby | Interventional Cardiology | Watauga Medical Center Inc | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Allan Anderson | Certified Registered Nurse Anesthetist (crna) | Watauga Medical Center Inc | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Jaclyn Benthall Shipley | Certified Registered Nurse Anesthetist (crna) | Watauga Medical Center Inc | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Richard D Goulah | Cardiovascular Disease (cardiology) | Watauga Medical Center Inc | 336 Deerfield Rd, Boone, NC 28607-5008 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Russell | Qualified Audiologist | 400 Univerisyt Hall Dr, Boone, NC 28607 | |
| Karen T Stoetzer | Clinical Social Worker | 719 Greenway Rd, Suite 108, Boone, NC 28607-3100 | |
| Ryan J Woods | Chiropractic | 920 W King St B, Boone, NC 28607-3467 | |
| Todd A Svitzer | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Nicholas J Placentra Jr. | Family Medicine | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Lori W Hiatt | Occupational Therapy | 240 Hwy 105 Ext, Suite 200, Boone, NC 28607-4291 | |
| Shelly C Smith | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Amanda K Bliss | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Miranda J Ramsey | Nurse Practitioner | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| William Henson | Optometry | Daniel J Sullivan Od Pa | 1180 Blowing Rock Rd, Suite A1, Boone, NC 28607-4600 |
| Find all physicians in zip 28607 | |||
| City | BOONE |
| Zip Code | 28607 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BOONE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kenneth Elliott Tenpenny.
| 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.