Charles V Kotal (NPI# 1104888361, PAC ID# 8820044431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104888361 |
| PAC ID by PECOS | 8820044431 |
| Professional Enrollment ID | I20050328000306 |
| Full Name | Charles V Kotal |
| Organization Legal Name | ISLAND INTERNAL MEDICINE INC PS. |
| Address |
912 32nd St Suite A Anacortes WA 98221-3473 |
| Phone Number | 3602934343 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0345132908 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500007 | ISLAND HOSPITAL |
| 500003 | SKAGIT VALLEY HOSPITAL |
| 501329 | PEACEHEALTH UNITED GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 912 32nd St, Suite A, Anacortes, WA 98221-3473 | 3602934343 | ISLAND INTERNAL MEDICINE INC PS. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 74% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 1% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 88% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 37% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 19% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 47% |
| Organization Legal Name | ISLAND INTERNAL MEDICINE INC PS. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Kohl | Nurse Practitioner | Island Internal Medicine Inc Ps. | 912 32nd St A, Anacortes, WA 98221-3407 |
| Caitlin M Desch | Physician Assistant | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Heather Nicole Gutierrez | Physician Assistant | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Helen Y Young | Internal Medicine | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Marcy A Shapley | Physician Assistant | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Kelly Louise Reed | Internal Medicine | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Bryan H Murray | Internal Medicine | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Street Address |
912 32ND ST SUITE A |
| City | ANACORTES |
| State | WA |
| Zip | 98221-3473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin M Desch | Physician Assistant | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Heather Nicole Gutierrez | Physician Assistant | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Helen Y Young | Internal Medicine | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Marcy A Shapley | Physician Assistant | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Kelly Louise Reed | Internal Medicine | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Bryan H Murray | Internal Medicine | Island Internal Medicine Inc Ps. | 912 32nd St, Suite A, Anacortes, WA 98221-3473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Paul Tobey | Psychologist, Clinical | 606 Commercial Ave, Suite G, Anacortes, WA 98221-1700 | |
| Jocelyn I I Palmer Perry | Clinical Social Worker | 606 Commercial Ave, Suite G, Anacortes, WA 98221-1700 | |
| David H Brown | Internal Medicine | Cloud Healthcare LLC | 1015 25th St Medical Arts Pavilio, Anacortes, WA 98221-1705 |
| Vicki L Fishfader | Physician Assistant | Cloud Healthcare LLC | 1015 25th St Medical Arts Pavilio, Anacortes, WA 98221-1705 |
| Thomas S York | Physician Assistant | Cloud Healthcare LLC | 1015 25th St Medical Arts Pavilio, Anacortes, WA 98221-1705 |
| Yvonne C Naughton | General Practice | Cloud Healthcare LLC | 1015 25th St Medical Arts Pavilio, Anacortes, WA 98221-1705 |
| Erin J Flanigan | Nurse Practitioner | Cloud Healthcare LLC | 1015 25th St Medical Arts Pavilio, Anacortes, WA 98221-1705 |
| Jennifer L Eichhorn | Nurse Practitioner | Cloud Healthcare LLC | 1015 25th St Medical Arts Pavilio, Anacortes, WA 98221-1705 |
| Deanne Earline Wientge | Clinical Social Worker | 619 Commercial Ave, Suite 25, Anacortes, WA 98221-1730 | |
| Cameron P Bigge | Chiropractic | Fidalgo Island Chiropractic Clinic | 601 O Ave, Anacortes, WA 98221-1753 |
| Find all physicians in zip 98221 | |||
| City | ANACORTES |
| Zip Code | 98221 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ANACORTES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles V Kotal.
| 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.