Kenneth L Gortz (NPI# 1295973154, PAC ID# 5092864785) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1295973154 |
| PAC ID by PECOS | 5092864785 |
| Professional Enrollment ID | I20090529000312 |
| Full Name | Kenneth L Gortz |
| Organization Legal Name | OHIO HEARING AND VISION PROFESSIONALS LLC |
| Address |
421 E Walton St Willard OH 44890-9108 |
| Phone Number | 4199334327 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1968 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8325336050 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 421 E Walton St, Willard, OH 44890-9108 | 4199334327 | OHIO HEARING AND VISION PROFESSIONALS LLC |
| 421 E Walton St, Suite A, Willard, OH 44890-9108 | 4199334327 | OHIO HEARING AND VISION PROFESSIONALS LLC |
| Organization Legal Name | OHIO HEARING AND VISION PROFESSIONALS LLC |
| Physicians | 1 |
| Street Address |
421 E WALTON ST |
| City | WILLARD |
| State | OH |
| Zip | 44890-9108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric P Kuivinen | General Surgery | Mercy Health Physicians - North, LLC. | 218 S Myrtle Ave, Willard, OH 44890-1408 |
| Philip Dale Keysor | Optometry | 219 Crestwood Dr, Willard, OH 44890-1650 | |
| Kaleigh A Donnamiller | Nurse Practitioner | Fisher-titus Medical Care LLC | 315 Crestwood Dr, Willard, OH 44890-1652 |
| Christopher Brown | Family Medicine | Fisher-titus Medical Care LLC | 315 Crestwood Dr, Willard, OH 44890-1652 |
| Vicki Brown | Family Medicine | Fisher-titus Medical Care LLC | 315 Crestwood Dr, Willard, OH 44890-1652 |
| Raman K Dhillon Gill | Family Practice | Fisher-titus Medical Care LLC | 315 Crestwood Dr, Willard, OH 44890-1652 |
| David L Stanbery | General Surgery | 388 E Howard St, Willard, OH 44890-1656 | |
| Dawn L Gore | Certified Clinical Nurse Specialist (cns) | Fisher-titus Medical Care LLC | 370 E Howard St, Willard, OH 44890-1656 |
| Tiffany L Procaccini | Optometry | 320 W Walton, Po Box 270, Willard, OH 44890-9133 | |
| Pamela Goines | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 1100 Neal Zick Rd, Willard, OH 44890-9287 |
| Find all physicians in zip 44890 | |||
| City | WILLARD |
| Zip Code | 44890 |
| Specialty | OPTOMETRY |
| City + Specialty | WILLARD + OPTOMETRY |
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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.