Kenneth J Phelps Jr. (NPI# 1508882671, PAC ID# 4880670637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508882671 |
| PAC ID by PECOS | 4880670637 |
| Professional Enrollment ID | I20070619000680 |
| Full Name | Kenneth J Phelps Jr. |
| Address |
304 W Church St Lewisburg TN 37091-2730 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 441309 | MARSHALL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 304 W Church St, Lewisburg, TN 37091-2730 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 92% |
| Street Address |
304 W CHURCH ST |
| City | LEWISBURG |
| State | TN |
| Zip | 37091-2730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Billingsley | Chiropractic | 1024 E Commerce, Lewisburg, TN 37091 | |
| Octavia L Graham | Family Medicine | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Lamin Bangura | Family Medicine | Southeastern Emergency Physicians LLC | 1080 Ellington Pkwy, Lewisburg, TN 37091-2227 |
| John S Jensen | Pulmonary Disease | Maury Regional Medical Group Inc | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Oliver Patrick Archibald | Internal Medicine | Maury Regional Medical Group Inc | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Lucas Wilmore | Family Medicine | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Margaret K Murdock | Nurse Practitioner | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Karen J Perry | Nurse Practitioner | Maury Regional Medical Group Inc | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| John M Douglas | Nurse Practitioner | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Shelly M Hargrove | Nurse Practitioner | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Find all physicians in zip 37091 | |||
| City | LEWISBURG |
| Zip Code | 37091 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEWISBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth J Phelps Jr..
| 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.