Keith R Doram (NPI# 1720306756, PAC ID# 5991086985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1720306756 |
| PAC ID by PECOS | 5991086985 |
| Professional Enrollment ID | I20190607001843 |
| Full Name | Keith R Doram |
| Organization Legal Name | AMERIWOUND PHYSICIANS IN LLC |
| Address |
3518 S Lafountain St Kokomo IN 46902-3803 |
| Phone Number | 7654534666 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9133481005 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3518 S Lafountain St, Kokomo, IN 46902-3803 | 7654534666 | AMERIWOUND PHYSICIANS IN LLC |
| Organization Legal Name | AMERIWOUND PHYSICIANS IN LLC |
| Physicians | 1 |
| Street Address |
3518 S LAFOUNTAIN ST |
| City | KOKOMO |
| State | IN |
| Zip | 46902-3803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannette S Murphy | Clinical Social Worker | 1428 S Main St, Suite 2, Kokomo, IN 46902-1693 | |
| Dawn R Cassidy | Optometry | City Optical Co Inc | 1164 S 17th St, Dr Tavel Family Eye Care, Kokomo, IN 46902-1901 |
| Mark G Cutler | Optometry | Wisconsin Vision Inc | 2030 S Reed Rd, Heartland Vision, Kokomo, IN 46902-1905 |
| Frank Decleene Iii | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
| Travis Christopher Stephens | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
| Catherine Marie Decleene | Optometry | Decleene Optometry, Inc. | 608 E Boulevard, Kokomo, IN 46902-2271 |
| Dana Y Stewart | Pediatric Medicine | 700 E Firmin St, Suite 212, Kokomo, IN 46902-2375 | |
| Ann Swingle Lauri | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2108 E Boulevard, Kokomo, IN 46902-2401 |
| Christopher Markus | Physical Therapy | Accelerated Rehabilitation Centers Ltd. | 2108 E Blvd, Kokomo, IN 46902-2401 |
| Chad P Schumann | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2108 E Boulevard, Kokomo, IN 46902-2401 |
| Find all physicians in zip 46902 | |||
| City | KOKOMO |
| Zip Code | 46902 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KOKOMO + INTERNAL MEDICINE |
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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.