Kenneth N Azan (NPI# 1003843848, PAC ID# 5799827192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003843848 |
| PAC ID by PECOS | 5799827192 |
| Professional Enrollment ID | I20100123000011 |
| Full Name | Kenneth N Azan |
| Organization Legal Name | BOTHWELL REGIONAL HEALTH CENTER |
| Address |
1718 S Ingram Ave Suite C Sedalia MO 65301-7505 |
| Phone Number | 6608272535 |
| Gender | M |
| Graduation Year | 1969 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6103714126 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260009 | BOTHWELL REGIONAL HEALTH CENTER |
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1718 S Ingram Ave, Suite C, Sedalia, MO 65301-7505 | 6608272535 | BOTHWELL REGIONAL HEALTH CENTER |
| Organization Legal Name | BOTHWELL REGIONAL HEALTH CENTER |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natania Y Piper | Urology | Bothwell Regional Health Center | 1715 S Lafayette Ave, Bothwell Family Health, Sedalia, MO 65301-7541 |
| Pamela S Eckhoff | Nurse Practitioner | Bothwell Regional Health Center | 1201 E Main St, Bothwell Physicians Group, Cole Camp, MO 65325-1256 |
| Philip J Fracica | Internal Medicine | Bothwell Regional Health Center | 3401 W 10th St, Sedalia, MO 65301-2112 |
| Janet S Chance-hetzler | Certified Clinical Nurse Specialist (cns) | Bothwell Regional Health Center | 601 E 14th St, Sedalia, MO 65301-5972 |
| Sarah B Hasek | Family Medicine | Bothwell Regional Health Center | 1765 Commercial St, Warsaw, MO 65355-3096 |
| Abraham N Azan | Family Medicine | Bothwell Regional Health Center | 667 E 15th St, Sedalia, MO 65301-7656 |
| Douglas W Kiburz | Orthopedic Surgery | Bothwell Regional Health Center | 2301 S Ingram Ave, Bothwell Physicians Group, Sedalia, MO 65301-8121 |
| David C Kuhlmann | Neurology | Bothwell Regional Health Center | 600 E 12th St, Sedalia, MO 65301-5906 |
| David W Oberkrom | Obstetrics/gynecology | Bothwell Regional Health Center | 3700 W 10th St, Suite 203, Sedalia, MO 65301-2540 |
| Harlan W Smither | Certified Registered Nurse Anesthetist (crna) | Bothwell Regional Health Center | 601 E 14th St, Sedalia, MO 65301-5972 |
| Street Address |
1718 S INGRAM AVE SUITE C |
| City | SEDALIA |
| State | MO |
| Zip | 65301-7505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Russell | Internal Medicine | Bothwell Regional Health Center | 1718 S Ingram Ave, Suite C, Sedalia, MO 65301-7505 |
| Leah C Hermanson | Nurse Practitioner | Bothwell Regional Health Center | 1718 S Ingram Ave, Suite C, Sedalia, MO 65301-7505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Stanley | Nurse Practitioner | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Megan Marie Yonker | Nurse Practitioner | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Kirsten Jones | Clinical Social Worker | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Ivette C Turner | Pediatric Medicine | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Julie Kisner | Clinical Social Worker | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Jessica Minor Arnold | Clinical Social Worker | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Teresa L Gatton | Family Medicine | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Shari A Thompson | Family Medicine | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Jenie Bruce | Nurse Practitioner | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Wendy Mcginnis | Nurse Practitioner | Regional Health Care Clinic Inc | 821 Westwood Dr, Katy Trail Community Health, Sedalia, MO 65301-2102 |
| Find all physicians in zip 65301 | |||
| City | SEDALIA |
| Zip Code | 65301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SEDALIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth N Azan.
| 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.