Kenneth Hentschel (NPI# 1164405460, PAC ID# 7416950563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1164405460 |
| PAC ID by PECOS | 7416950563 |
| Professional Enrollment ID | I20060810000425 |
| Full Name | Kenneth Hentschel |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Address |
4205 Belfort Rd Jacksonville FL 32216-1471 |
| Phone Number | 9043087959 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2860411188 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100307 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 4205 Belfort Rd, Jacksonville, FL 32216-1471 | 9043087959 | ST VINCENT'S AMBULATORY CARE INC |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Physicians | 317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadine Wlasiuk | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1658 St Vincent's Way, Suite 300, Middleburg, FL 32068-8431 |
| Felipe Velazquez | Family Medicine | St Vincent's Ambulatory Care Inc | 6488 103rd St, Suite B, Jacksonville, FL 32210-7161 |
| Carlos Mora | Neurology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 724, Jacksonville, FL 32204-4786 |
| Ronnesia Austin Wright | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1503 Oak St, Jacksonville, FL 32204-3910 |
| Christa W Lehman | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 858 Monument Rd, Suite B, Jacksonville, FL 32225-6670 |
| Troy F Borema | Family Medicine | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Tanielle Lamonika Brew | Family Medicine | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Samantha J Barry | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 11512 Lake Mead Ave, Suite 521, Jacksonville, FL 32256-5835 |
| Caroline R Price | Family Medicine | St Vincent's Ambulatory Care Inc | 6856 103rd St, Jacksonville, FL 32210-6877 |
| Street Address |
4205 BELFORT RD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32216-1471 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julius Dean | Cardiovascular Disease (cardiology) | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Jacksonville, FL 32216-1471 |
| Robert K Mannel | Neurology | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Jacksonville, FL 32216-1471 |
| Kimberly M Petragnani-chrzanowski | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Jacksonville, FL 32216-1471 |
| Patrick S Antoun | Interventional Cardiology | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Jacksonville, FL 32216-1471 |
| Craig A Cherrin | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Jacksonville, FL 32216-1471 |
| Stephen R Parker | Neurosurgery | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Jacksonville, FL 32216-1471 |
| Ali Chahlavi | Neurosurgery | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Jacksonville, FL 32216-1471 |
| Manish N Patel | Family Medicine | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Suite 3075, Jacksonville, FL 32216-1475 |
| Lielanie Aguilar | Psychiatry | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Suite 3075, Jacksonville, FL 32216-1475 |
| Lloyd Ernest Dahlen | Clinical Social Worker | St Vincent's Ambulatory Care Inc | 4205 Belfort Rd, Suite 3075, Jacksonville, FL 32216-1475 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eula B Kovacs | Clinical Social Worker | 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216 | |
| Rebecca K Reza | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Jessica Lynn Burkett | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Diana C Maccario | Family Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Vonda Marie Love | Nurse Practitioner | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| John Paul Guercio | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Guilad Pribluda | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Bhavesh S Patel | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Arnel Larcia | Internal Medicine | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Kelly Bingham Traylor | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Find all physicians in zip 32216 | |||
| City | JACKSONVILLE |
| Zip Code | 32216 |
| Specialty | NEUROLOGY |
| City + Specialty | JACKSONVILLE + NEUROLOGY |
Please comment or provide details below to improve the information on Kenneth Hentschel.
| 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.