Pitt Vesom (NPI# 1073568150, PAC ID# 5890749501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1073568150 |
| PAC ID by PECOS | 5890749501 |
| Professional Enrollment ID | I20050307000038 |
| Full Name | Pitt Vesom |
| Organization Legal Name | KENNETT HMA PHYSICIAN MANAGEMENT, LLC |
| Address |
1231 1st St Kennett MO 63857-2521 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1974 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2961503149 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| 260015 | TWIN RIVERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1231 1st St, Kennett, MO 63857-2521 | KENNETT HMA PHYSICIAN MANAGEMENT, LLC | |
| 3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938 | 8554447276 | POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC |
| Organization Legal Name | KENNETT HMA PHYSICIAN MANAGEMENT, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steve M Pu | General Surgery | Kennett Hma Physician Management, LLC | 304 Teaco Rd B, Kennett, MO 63857-3268 |
| Valerie A Smith | Family Practice | Kennett Hma Physician Management, LLC | 304 Teaco Rd B, Kennett, MO 63857-3268 |
| Gilda H Gomez | Hematology/oncology | Kennett Hma Physician Management, LLC | 1231 1st St, Kennett, MO 63857-2521 |
| Street Address |
1231 1ST ST |
| City | KENNETT |
| State | MO |
| Zip | 63857-2521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla S Melton | Optometry | Eye Surgery Consultants LLP | 1231 1st St, Suite 1, Kennett, MO 63857-2527 |
| Nelson R Perez | Obstetrics/gynecology | Poplar Bluff Hma Physician Management, LLC | 1231 1st St, Suite 2, Kennett, MO 63857-2521 |
| Katrina Leanne Miller | Nurse Practitioner | Poplar Bluff Hma Physician Management, LLC | 1231 1st St, Suite 2, Kennett, MO 63857-2521 |
| Gilda H Gomez | Hematology/oncology | Kennett Hma Physician Management, LLC | 1231 1st St, Kennett, MO 63857-2521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa L Brasher | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Susan G Helms | Clinical Social Worker | Family Counseling Center Inc | Bldg 925 Hwy Vv, Kennett, MO 63857-0071 |
| Brenda J Gray | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Clea M Fairaizl | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Larina J Ditto | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Carlos A. Salgueiro | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Stephanie A Flynn | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Susan Brooks Hanks | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Karl E. Shanstrom | Family Medicine | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Ravdeep S Khanuja | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Find all physicians in zip 63857 | |||
| City | KENNETT |
| Zip Code | 63857 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | KENNETT + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Pitt Vesom.
| 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.