Richard M Kootman (NPI# 1700896149, PAC ID# 7214920370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1700896149 |
| PAC ID by PECOS | 7214920370 |
| Professional Enrollment ID | I20120319000211 |
| Full Name | Richard M Kootman |
| Address |
13943 N 91st Ave Bldg G Arrowhead Eye Center Peoria AZ 85381-3689 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1984 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 031300 | WICKENBURG COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13943 N 91st Ave Bldg G, Arrowhead Eye Center, Peoria, AZ 85381-3689 |
| Street Address |
13943 N 91ST AVE BLDG G ARROWHEAD EYE CENTER |
| City | PEORIA |
| State | AZ |
| Zip | 85381-3689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert N Kim | Chiropractic | 8345 W Thunderbird Rd, B103, Peoria, AZ 85381-3668 | |
| Paulina Simon | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Jane M Kinstler | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
| Ramin Fathi | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Iain A Black | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Deborah E Zell | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Troy C Ellis | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
| Artthapol Tanphaichitr | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
| Christina A Foster | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Brady P Nelson | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
| Find all physicians in zip 85381 | |||
| City | PEORIA |
| Zip Code | 85381 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PEORIA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Richard M Kootman.
| 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.