Kenneth A Son (NPI# 1417048331, PAC ID# 7719935261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1417048331 |
| PAC ID by PECOS | 7719935261 |
| Professional Enrollment ID | I20111229000478 |
| Full Name | Kenneth A Son |
| Address |
1348 S 18th St Suite 230 Fernandina Beach FL 32034-4755 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | UROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100140 | BAPTIST MEDICAL CENTER NASSAU |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1348 S 18th St, Suite 230, Fernandina Beach, FL 32034-4755 | ||
| 463820 State Rd, Suite 103, Yulee, FL 32097-3604 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1348 S 18TH ST SUITE 230 |
| City | FERNANDINA BEACH |
| State | FL |
| Zip | 32034-4755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Hartwell Houston Mooney | Cardiovascular Disease (cardiology) | Baptist Cardiology, Inc. | 1348 S 18th St, Suite 200, Fernandina Beach, FL 32034-4785 |
| Jeffrey M Lezynski | Qualified Audiologist | Baptist Ent Specialists Inc | 1348 S 18th St, Suite 340, Fernandina Beach, FL 32034-4785 |
| Roshini Anita Ballmick | Occupational Therapy | Jacksonville Orthopaedic Institute Inc | 1348 S 18th St, 320a, Fernandina Beach, FL 32034-4785 |
| Demetria C Velazquez | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 1348 S 18th St, 320a, Fernandina Beach, FL 32034-4785 |
| Louis A Corpora Iii | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 1348 S 18th St, 320a, Fernandina Beach, FL 32034-4785 |
| Adam Michael Hutchison | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 1348 S 18th St, 320a, Fernandina Beach, FL 32034-4785 |
| Caitlin M Violette | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 1348 S 18th St, 320a, Fernandina Beach, FL 32034-4785 |
| Elizabeth A Moore | Nurse Practitioner | Baptist Ent Specialists Inc | 1348 S 18th St, Suite 340, Fernandina Beach, FL 32034-4785 |
| Chang T Chau | Occupational Therapy | Jacksonville Orthopaedic Institute Inc | 1348 S 18th St, 320a, Fernandina Beach, FL 32034-4785 |
| Amanda Caroline Dupree | Nurse Practitioner | Baptist Pulmonary Specialists Inc | 1348 S 18th St, Suite 210, Fernandina Beach, FL 32034-4785 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly C Durham | Chiropractic | Beckerton Chiropractic Pllc | 464073 E State Rd, 200 Suite 4, Yulee, FL 32034 |
| Patricia Lynne Shelly-lohman | Qualified Audiologist | 1411 S 14 St, Suite F, Fernandina Beach, FL 32034 | |
| Elizabeth Harrelson-lee | Chiropractic | Lee Chiropractic Clinic Inc | 1875 A-south 14th St, Fernandina Beach, FL 32034 |
| Thomas P Beckerton | Chiropractic | Beckerton Chiropractic Pllc | 464073 E State Rd, 200 Suite 4, Yulee, FL 32034 |
| Joseph M Lee | Chiropractic | Lee Chiropractic Clinic Inc | 1875 A-south 14th St, Fernandina Beach, FL 32034 |
| Ryan Benjamin Brenes | Family Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Troy Guthrie | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Marcelo C Darabos | Emergency Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Dimitrios P Agaliotis | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Mathew Luke | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Find all physicians in zip 32034 | |||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
| Specialty | UROLOGY |
| City + Specialty | FERNANDINA BEACH + UROLOGY |
Please comment or provide details below to improve the information on Kenneth A Son.
| 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.