Kenneth W Blumenthal (NPI# 1427053255, PAC ID# 8729042452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
Nation Provider ID (NPI) | 1427053255 |
PAC ID by PECOS | 8729042452 |
Professional Enrollment ID | I20091203000757 |
Full Name | Kenneth W Blumenthal |
Organization Legal Name | ALLERGY ASTHMA CARE P.C. |
Address |
5521 W Lincoln Hwy 100 Crown Point IN 46307-1098 |
Phone Number | 2197566100 |
Gender | M |
Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1978 |
Primary Specialty | ALLERGY/IMMUNOLOGY |
Group Practice PAC ID | 5698779080 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150035 | PORTER REGIONAL HOSPITAL |
150126 | FRANCISCAN HEALTH CROWN POINT |
Address | Phone | Organization |
---|---|---|
5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 | 2197566100 | ALLERGY ASTHMA CARE P.C. |
Organization Legal Name | ALLERGY ASTHMA CARE P.C. |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
Street Address |
5521 W LINCOLN HWY 100 |
City | CROWN POINT |
State | IN |
Zip | 46307-1098 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
Name | Specialty | Organization | Address |
---|---|---|---|
William A Zato | Family Medicine | Advanced Care Medical Specialists PC | 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114 |
Rebekah Jennifer Vega | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
Julie Ann Derosa | Family Practice | Aberdeen Ventures, Ltd. | 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098 |
Miyako S Streeter | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
Dana Joy Hiskes | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
Kerry Ann Kanaley | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
Akeela Benson | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
Lisa Michelle Mckinney | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
Kristina Zielbauer | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
Nora Amelia Boyer | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
Find all physicians in zip 46307 |
City | CROWN POINT |
Zip Code | 46307 |
Specialty | ALLERGY/IMMUNOLOGY |
City + Specialty | CROWN POINT + ALLERGY/IMMUNOLOGY |
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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.