Kevin L Hastings Jr. (NPI# 1639279748, PAC ID# 8820172638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1639279748 |
| PAC ID by PECOS | 8820172638 |
| Professional Enrollment ID | I20080303000451 |
| Full Name | Kevin L Hastings Jr. |
| Organization Legal Name | OSTEOPATHIC PAIN MANAGEMENT SERVICES LLC |
| Address |
153 Oakdale Rd Johnson City NY 13790-1007 |
| Phone Number | 6077489001 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 6002990827 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330394 | UNITED HEALTH SERVICES HOSPITALS, INC |
| 330011 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 153 Oakdale Rd, Johnson City, NY 13790-1007 | 6077489001 | OSTEOPATHIC PAIN MANAGEMENT SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | OSTEOPATHIC PAIN MANAGEMENT SERVICES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew James Whittock | Physician Assistant | Osteopathic Pain Management Services LLC | 153 Oakdale Rd, Johnson City, NY 13790-1007 |
| Street Address |
153 OAKDALE RD |
| City | JOHNSON CITY |
| State | NY |
| Zip | 13790-1007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Leigh Middaugh | Physical Therapy | Physical Therapy At Oakdale, Pllc | 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007 |
| Andrew James Whittock | Physician Assistant | Osteopathic Pain Management Services LLC | 153 Oakdale Rd, Johnson City, NY 13790-1007 |
| John K Koniuto | Physical Therapy | Physical Therapy At Oakdale, Pllc | 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007 |
| Molly C Higgins | Physical Medicine and Rehabilitation | Physical Therapy At Oakdale, Pllc | 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Cerutti | Physical Therapy | Bodyworks Physical Therapy LLC | 765 Harry L Dr, Johnson City, NY 13790-1012 |
| Molly Brown | Physical Therapy | Bodyworks Physical Therapy LLC | 765 Harry L Dr, Johnson City, NY 13790-1012 |
| Michelle A Morante | Clinical Social Worker | Calvary Community Wesleyan Church | 780 Harry L Dr, Johnson City, NY 13790-1036 |
| Laura Ward | Clinical Social Worker | Calvary Community Wesleyan Church | 780 Harry L Dr, Johnson City, NY 13790-1036 |
| Gregory T Peake | Physical Therapy | Broome Orthopedic and Sport Physical Therapy | 800 Valley Plz, Suite 9, Johnson City, NY 13790-1046 |
| Nicholas Chernega | Physical Therapy | Broome Orthopedic and Sport Physical Therapy | 800 Valley Plz, Suite 9, Johnson City, NY 13790-1046 |
| Samantha Eckhardt | Occupational Therapy | Southern Tier Medical Care - Ny PC | 174 Oakdale Rd, Johnson City, NY 13790-1049 |
| Gregory A Hritcko | Occupational Therapy | Southern Tier Medical Care - Ny PC | 174 Oakdale Rd, Johnson City, NY 13790-1049 |
| Margaret S Monborne | Occupational Therapy | Southern Tier Medical Care - Ny PC | 174 Oakdale Rd, Johnson City, NY 13790-1049 |
| Zachary Adam Nobles | Occupational Therapy | Hand Therapy of Greater Binghamton Occupational Therapy Pllc | 174 Oakdale Rd, Johnson City, NY 13790-1049 |
| Find all physicians in zip 13790 | |||
| City | JOHNSON CITY |
| Zip Code | 13790 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JOHNSON CITY + INTERNAL MEDICINE |
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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.