Kenneth Joseph Kaminski Jr. (NPI# 1518136225, PAC ID# 8426229311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1518136225 |
| PAC ID by PECOS | 8426229311 |
| Professional Enrollment ID | I20120724000709 |
| Full Name | Kenneth Joseph Kaminski Jr. |
| Organization Legal Name | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| Address |
305 W 20th St Mount Pleasant TX 75455-2327 |
| Phone Number | 9035775661 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3274524467 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450864 | BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL |
| 450083 | EAST TEXAS MEDICAL CENTER |
| 450102 | MOTHER FRANCES HOSPITAL |
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| 450080 | TITUS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 305 W 20th St, Mount Pleasant, TX 75455-2327 | 9035775661 | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| 3414 Golden Rd, Tyler, TX 75701-8336 | 9039397500 | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Johnson | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Chad J Mcneil | Physical Medicine and Rehabilitation | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Claire Tibiletti | Interventional Pain Management | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| Kim A Foreman | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| Drew C Woock | Occupational Therapy | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Jennifer Marie Mckelva | Physician Assistant | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Corey Lamont Starks | Occupational Therapy | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Jennifer Turner | Nurse Practitioner | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Jerry Wayne Schwarzbach | Physical Medicine and Rehabilitation | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Kevin Wade Luttrell | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Street Address |
305 W 20TH ST |
| City | MOUNT PLEASANT |
| State | TX |
| Zip | 75455-2327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Johnson | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Jennifer Marie Mckelva | Physician Assistant | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Mark E Quiring | Family Medicine | 305 W 20th St, Mount Pleasant, TX 75455-2327 | |
| Michael A Sullivan | Physician Assistant | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Jonathan T Matthews | Nurse Practitioner | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Michael Edward Russell Ii | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| David A Kummerfeld | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Rebel Renee Huffman | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob Green | Nurse Practitioner | Titus County Hospital District | 2001 N Jefferson Ave, 100 Titus Orthopedic and Sports Medicine, Mt Pleasant, TX 75455-1104 |
| David A Hester | Orthopedic Surgery | Titus County Hospital District | 2001 N Jefferson Ave, 100 Titus Orthopedic and Sports Medicine, Mt Pleasant, TX 75455-1104 |
| James E Thesing | Internal Medicine | Texas Oncology Pa | 2101 Mulberry Ave, Mt Pleasant, TX 75455-1105 |
| Denim Renee Ervin | Nurse Practitioner | Texas Oncology Pa | 2101 Mulberry Ave, Mt Pleasant, TX 75455-1105 |
| Timothy Orlando Tesi | Podiatry | 1714 N Edwards, Villa of Mt Pleasant, Mt Pleasant, TX 75455-2028 | |
| Eric S Kemp | Psychiatry | Lakes Regional Mental Health Mental Retardation Center | 1300 W 16th St, Mt Pleasant, TX 75455-2046 |
| Carolyn S Davis | Nurse Practitioner | Lakes Regional Mental Health Mental Retardation Center | 1300 W 16th St, Mt Pleasant, TX 75455-2046 |
| Gordon H Downie | Pulmonary Disease | 301 W 18th St, Suite 101, Mt Pleasant, TX 75455-2313 | |
| Stephanie Judith Taylor | Nurse Practitioner | Edgar Zambrano D.o, P.a | 2015 Mulberry Ave, Suite 210, Mount Pleasant, TX 75455-2319 |
| Edgar H Zambrano | General Surgery | Edgar Zambrano D.o, P.a | 2015 Mulberry Ave, Suite 210, Mount Pleasant, TX 75455-2319 |
| Find all physicians in zip 75455 | |||
| City | MOUNT PLEASANT |
| Zip Code | 75455 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MOUNT PLEASANT + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kenneth Joseph Kaminski Jr..
| 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.