Kenneth William Martin (NPI# 1124256656, PAC ID# 4981756491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1124256656 |
| PAC ID by PECOS | 4981756491 |
| Professional Enrollment ID | I20160720000075 |
| Full Name | Kenneth William Martin |
| Organization Legal Name | PREMIER ANESTHESIA OF NEW YORK, P.C. |
| Address |
2233 State Route 86 Saranac Lake NY 12983-5644 |
| Phone Number | 5188914141 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 7719041102 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330229 | BROOKS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 529 Central Ave, Dunkirk, NY 14048-2514 | 7163661111 | PREMIER ANESTHESIA OF NEW YORK, P.C. |
| 2233 State Route 86, Saranac Lake, NY 12983-5644 | 5188914141 | PREMIER ANESTHESIA OF NEW YORK, P.C. |
| Organization Legal Name | PREMIER ANESTHESIA OF NEW YORK, P.C. |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad M Ristau | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 529 Central Ave, Dunkirk, NY 14048-2514 |
| Jacob Rajan | Anesthesiology | Premier Anesthesia of New York, P.C. | 1500 N James St, Rome, NY 13440-2844 |
| Staffel G Oates | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 529 Central Ave, Dunkirk, NY 14048-2514 |
| Dawn M Lai | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 529 Central Ave, Dunkirk, NY 14048-2514 |
| Jennifer L Swearingen | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 134 Homer Ave, Cortland, NY 13045-1206 |
| Paul E Auger | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 1 Hospital Dr, Massena, NY 13662-1056 |
| Edward G Gyukeri | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 529 Central Ave, Dunkirk, NY 14048-2514 |
| Tricia A Chambers | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Kathryn Clark Dearborn | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| John Thomas Brown Iii | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 1 Hospital Dr, Massena, NY 13662-1056 |
| Street Address |
2233 STATE ROUTE 86 |
| City | SARANAC LAKE |
| State | NY |
| Zip | 12983-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony F Tramontano | Cardiovascular Disease (cardiology) | Adirondack Medical Center | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Eric A Pillemer | Medical Oncology | Adirondack Medical Center | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Robert Werblin | Emergency Medicine | Adirondack Medical Center | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Tricia A Chambers | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Dianna N Bryan | Emergency Medicine | Adirondack Medical Center | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Olga Voronel | Pathology | Adirondack Medical Center | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Marzouq A Qubti | Rheumatology | Adirondack Medical Center | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Kathryn Clark Dearborn | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of New York, P.C. | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Mary J Rooks | Certified Nurse Midwife (cnm) | Adirondack Medical Center | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Sara M Crystal | Nurse Practitioner | Adirondack Medical Center | 2233 State Route 86, Saranac Lake, NY 12983-5644 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Pm Pond | Emergency Medicine | 354 Broadway, Saranac Lake, NY 12983-1146 | |
| Claire E Pietrzak | Qualified Audiologist | Adirondack Audiology Associates PC | 144 Broadway, Suite 1, Saranac Lake, NY 12983-1486 |
| Erin L Laundrie | Qualified Audiologist | Adirondack Audiology Associates PC | 144 Broadway, Suite 1, Saranac Lake, NY 12983-1486 |
| Hugo Guerrero | Audiologist | Adirondack Audiology Associates PC | 144 Broadway, Suite 1, Saranac Lake, NY 12983-1486 |
| Carol J Merrihew | Clinical Social Worker | 88 Woodruff St, Saranac Lake, NY 12983-1713 | |
| Andrea Johnston | Clinical Social Worker | 88 Woodruff St, Saranac Lake, NY 12983-1713 | |
| Klaus E Meissner | Clinical Social Worker | 88 Woodruff St, Saranac Lake, NY 12983-1713 | |
| Richard F Liotta | Clinical Psychologist | 88 Woodruff St, Saranac Lake, NY 12983-1713 | |
| Richard L Erenstone | Optometry | Eye Care for The Adirondacks Associates In Ophthalmology, PC | 51 Woodruff St, Saranac Lake, NY 12983-1715 |
| Nadine Feneck Case | Psychologist, Clinical | 43 Broadway, Suite 205, Saranac Lake, NY 12983-1720 | |
| Find all physicians in zip 12983 | |||
| City | SARANAC LAKE |
| Zip Code | 12983 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | SARANAC LAKE + CERTIFIED REGISTERED NURSE ANESTHETIST |
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| 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.