Thomas E Knutson Jr. (NPI# 1083785901, PAC ID# 5294920161) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1083785901 |
| PAC ID by PECOS | 5294920161 |
| Professional Enrollment ID | I20101117000964 |
| Full Name | Thomas E Knutson Jr. |
| Organization Legal Name | CENTER FOR ORTHOPEDIC EXCELLENCE, PLLC |
| Address |
1008 Tavern Rd Suite 102 Martinsburg WV 25401-2864 |
| Phone Number | 3042635129 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1759381437 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510008 | BERKELEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 | 3042635129 | CENTER FOR ORTHOPEDIC EXCELLENCE, PLLC |
| Organization Legal Name | CENTER FOR ORTHOPEDIC EXCELLENCE, PLLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Buschman | Orthopedic Surgery | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Seth G Eberhardt | Podiatry | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Troy Foster | Orthopedic Surgery | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Dwight T Kemp | Orthopedic Surgery | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Joseph Cincinnati | Orthopedic Surgery | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Kenneth M Guida | Physician Assistant | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Street Address |
1008 TAVERN RD SUITE 102 |
| City | MARTINSBURG |
| State | WV |
| Zip | 25401-2864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Buschman | Orthopedic Surgery | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Michael Santa Lucia | Physical Therapy | 1008 Tavern Rd, Suite 200, Martinsburg, WV 25401-2801 | |
| Seth G Eberhardt | Podiatry | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Troy Foster | Orthopedic Surgery | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Stacey A Anderson | Obstetrics/gynecology | 1008 Tavern Rd, Martinsburg, WV 25401-2801 | |
| Dwight T Kemp | Orthopedic Surgery | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Joseph Cincinnati | Orthopedic Surgery | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Kenneth M Guida | Physician Assistant | Center for Orthopedic Excellence, Pllc | 1008 Tavern Rd, Suite 102, Martinsburg, WV 25401-2864 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Rauch | Podiatry | 123 Health Care Lane, Martinsburg, WV 25401 | |
| Paul G Welch | Nephrology | Otto Roza Md Pa | 103 Marcley Rd, Martinsburg, WV 25401 |
| Kerry L Bayer Cole | Nurse Practitioner | Hahn Medical Practices, Inc. | 215 Louisiana Ave, Martinsburg, WV 25401 |
| Pamela Jane Gavin | Nurse Practitioner | Otto Roza Md Pa | 103 Marcley Rd, Martinsburg, WV 25401 |
| Stephen Flax | Dermatology | Dermatology Associates Inc | 1008 Winchester Ave, Martinsburg, WV 25401-1764 |
| Maria Bogaert | Dermatology | Dermatology Associates Inc | 1008 Winchester Ave, Martinsburg, WV 25401-1764 |
| Frederick Wenzel | Dermatology | Dermatology Associates Inc | 1008 Winchester Ave, Martinsburg, WV 25401-1764 |
| Nicholas S Guzic | Optometry | Myeyedr Optometry of West Virginia Pllc | 910 Foxcroft Ave, Martinsburg, WV 25401-1835 |
| Karla Rae King | Physical Therapy | King Physical Therapy Inc | 772 Foxcroft Ave, Martinsburg, WV 25401-1838 |
| Pamelyn Suzanne Gregory | Physical Therapy | King Physical Therapy Inc | 772 Foxcroft Ave, Martinsburg, WV 25401-1838 |
| Find all physicians in zip 25401 | |||
| City | MARTINSBURG |
| Zip Code | 25401 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MARTINSBURG + ORTHOPEDIC SURGERY |
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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.