Kendall P Tabor Sr. (NPI# 1184620908, PAC ID# 4789652082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1184620908 |
PAC ID by PECOS | 4789652082 |
Professional Enrollment ID | I20040923001114 |
Full Name | Kendall P Tabor Sr. |
Organization Legal Name | SOUTHWEST FOOT AND ANKLE SPECIALISTS, PC |
Address |
515 Howard St Kalamazoo MI 49008-1917 |
Phone Number | 2693851000 |
Gender | M |
Credential | DPM |
Medical School | PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1980 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 9638119423 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230017 | BRONSON METHODIST HOSPITAL |
230117 | BORGESS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
515 Howard St, Kalamazoo, MI 49008-1917 | 2693851000 | SOUTHWEST FOOT AND ANKLE SPECIALISTS, PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 100% | |
MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
Organization Legal Name | SOUTHWEST FOOT AND ANKLE SPECIALISTS, PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tamara Marie Whitaker | Podiatry | Southwest Foot and Ankle Specialists, PC | 515 Howard St, Kalamazoo, MI 49008-1917 |
Street Address |
515 HOWARD ST |
City | KALAMAZOO |
State | MI |
Zip | 49008-1917 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tamara Marie Whitaker | Podiatry | Southwest Foot and Ankle Specialists, PC | 515 Howard St, Kalamazoo, MI 49008-1917 |
Name | Specialty | Organization | Address |
---|---|---|---|
Naseer Ahmed | Internal Medicine | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
Ramasubba R Tatini | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
Robert C Shaw Jr. | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
Deolixto Pascual | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
Timothy Byon | Family Medicine | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
Argelio Lopez-roca | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
Anthony O Anunwa | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
Martha M Mann | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
Jayne Anne Barr | Internal Medicine | Western Michigan University School of Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 |
Richard R Roach | Internal Medicine | Western Michigan University School of Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 |
Find all physicians in zip 49008 |
City | KALAMAZOO |
Zip Code | 49008 |
Specialty | PODIATRY |
City + Specialty | KALAMAZOO + PODIATRY |
Please comment or provide details below to improve the information on Kendall P Tabor Sr..
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.