Kevin L Whaley (NPI# 1336186246, PAC ID# 4688661200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1336186246 |
| PAC ID by PECOS | 4688661200 |
| Professional Enrollment ID | I20040427000657 |
| Full Name | Kevin L Whaley |
| Organization Legal Name | SUMMIT DERMATOLOGY, P.C. |
| Address |
8890 N Union Blvd Suite 207 Colorado Springs CO 80920-2701 |
| Phone Number | 7196670888 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2860582798 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060022 | UCH-MEMORIAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 8890 N Union Blvd, Suite 207, Colorado Springs, CO 80920-2701 | 7196670888 | SUMMIT DERMATOLOGY, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 58% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 83% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 13% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | SUMMIT DERMATOLOGY, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne P Osborn | Dermatology | Summit Dermatology, P.C. | 8890 N Union Blvd, Suite 207, Colorado Springs, CO 80920-2701 |
| Andrew W Johnson | Dermatology | Summit Dermatology, P.C. | 8890 N Union Blvd, Suite 207, Colorado Springs, CO 80920-2701 |
| Courtney N Meinders | Physician Assistant | Summit Dermatology, P.C. | 8890 N Union Blvd, Suite 207, Colorado Springs, CO 80920-2701 |
| Street Address |
8890 N UNION BLVD SUITE 207 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80920-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne P Osborn | Dermatology | Summit Dermatology, P.C. | 8890 N Union Blvd, Suite 207, Colorado Springs, CO 80920-2701 |
| Karen J Seymour | Nurse Practitioner | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Jodie Kay Mesa | Family Medicine | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Rachael Degurse | Family Medicine | Mountain View Medical Group, LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Shannon Constantinides | Nurse Practitioner | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Breanna Frees | Physician Assistant | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Brittany Loeser | Physician Assistant | Mountain View Medical Group, LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Aleathia Ware | Nurse Practitioner | Mountain View Medical Group, LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Lisa M Keith | Nurse Practitioner | Poudre Valley Medical Group LLC | 8890 N Union Blvd, 170 Uchmg Primary Care Briargate, Colorado Springs, CO 80920-2701 |
| Julie Sack | Nurse Practitioner | Poudre Valley Medical Group LLC | 8890 N Union Blvd, Colorado Springs, CO 80920-2701 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Applebee | Physical Therapy | Complete Physiotherapy, Inc | 595 Chapel Hills Dr, Suite 145, Colorado Springs, CO 80920-1024 |
| Michael Joshua Wilhelm | Otolaryngology | Pikes Peak Ent | 595 Chapel Hills Dr, Suite 102, Colorado Springs, CO 80920-1024 |
| Jonathan Luke Arnholt | Otolaryngology | Pikes Peak Ent | 595 Chapel Hills Dr, Suite 102, Colorado Springs, CO 80920-1024 |
| Nathanael S Brady | Allergy/immunology | 595 Chapel Hills Dr, Suite 102, Colorado Springs, CO 80920-1024 | |
| Brenda J Feller | Physical Therapy | Complete Physiotherapy, Inc | 595 Chapel Hills Dr, Suite 145, Colorado Springs, CO 80920-1024 |
| Allison J Atherton | Physical Therapy | Complete Physiotherapy, Inc | 595 Chapel Hills Dr, Suite 145, Colorado Springs, CO 80920-1024 |
| Tara M Burton | Physician Assistant | Skin Cancer and Dermatology Center of Colorado Springs, P.C. | 1975 Research Pkwy, Suite 165, Colorado Springs, CO 80920-1026 |
| Crystal Bw Evig | Obstetrics/gynecology | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Susan M Heffley | Family Medicine | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Nicole Taylor | Certified Nurse Midwife (cnm) | Davita Medical Group Colorado Springs, LLC | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 |
| Find all physicians in zip 80920 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
| Specialty | DERMATOLOGY |
| City + Specialty | COLORADO SPRINGS + DERMATOLOGY |
Please comment or provide details below to improve the information on Kevin L Whaley.
| 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.