Charles W Kanaly (NPI# 1568637296, PAC ID# 8820269525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1568637296 |
| PAC ID by PECOS | 8820269525 |
| Professional Enrollment ID | I20120202000568 |
| Full Name | Charles W Kanaly |
| Organization Legal Name | NEUROSURGERY CENTER OF SOUTHERN NEW ENGLAND, PC |
| Address |
537 Faunce Corner Rd Dartmouth MA 02747-1242 |
| Phone Number | 5086720545 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 1254657752 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220020 | SAINT ANNE'S HOSPITAL |
| 220073 | MORTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 537 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 5086720545 | NEUROSURGERY CENTER OF SOUTHERN NEW ENGLAND, PC |
| Organization Legal Name | NEUROSURGERY CENTER OF SOUTHERN NEW ENGLAND, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Fox Jr. | Physician Assistant | Neurosurgery Center of Southern New England, PC | 277 Pleasant St, Suite 101, Fall River, MA 02721-3005 |
| Noreen Elizabeth Flynn | Physician Assistant | Neurosurgery Center of Southern New England, PC | 277 Pleasant St, Suite 101, Fall River, MA 02721-3005 |
| Danielle Leigh Capece | Physician Assistant | Neurosurgery Center of Southern New England, PC | 277 Pleasant St, Suite 101, Fall River, MA 02721-3005 |
| Street Address |
537 FAUNCE CORNER RD |
| City | DARTMOUTH |
| State | MA |
| Zip | 02747-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula J Walsh | Nurse Practitioner | Steward Medical Group Inc | 537 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Jennifer M Rushton | Nurse Practitioner | Steward Medical Group Inc | 537 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Kelly F Silva | Nurse Practitioner | Steward Medical Group Inc | 537 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| David M Greenberg | Podiatry | Rhode Island Foot Care, Inc | 537 Faunce Corner Rd, Fl 2, Dartmouth, MA 02747-1242 |
| Shan Qin | Internal Medicine | Steward Medical Group Inc | 537 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Melissa K Botelho | Nurse Practitioner | Steward Medical Group Inc | 537 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Yeshman | Podiatry | 26 Shannon Way, N Dartmouth, MA 02747-1182 | |
| Courtney Mota Trevino | Optometry | Kem Optical PC | 83 Faunce Corner Rd B, North Dartmouth, MA 02747-1210 |
| Kate E Marmelo | Optometry | Kem Optical PC | 83 Faunce Corner Rd B, North Dartmouth, MA 02747-1210 |
| Kathryn Young Noonan | Otolaryngology | Southcoast Physicians Group, Inc.. | 299 Faunce Corner Rd, North Dartmouth, MA 02747-1218 |
| Jonathon S Sillman | Otolaryngology | Southcoast Physicians Group, Inc.. | 299 Faunce Corner Rd, North Dartmouth, MA 02747-1218 |
| Eric E Pinho | Nurse Practitioner | Northeast Behavioral Health LLC | 581 Faunce Corner Rd, Dartmouth, MA 02747-1242 |
| Karmina P Bautista | Internal Medicine | Steward Medical Group Inc | 531 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Jack A Howard | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 535 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Steven H Oh | Diagnostic Radiology | Steward Medical Group Inc | 531 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Stephen L Keith | Vascular Surgery | Steward Medical Group Inc | 535 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Find all physicians in zip 02747 | |||
| City | DARTMOUTH |
| Zip Code | 02747 |
| Specialty | NEUROSURGERY |
| City + Specialty | DARTMOUTH + NEUROSURGERY |
Please comment or provide details below to improve the information on Charles W Kanaly.
| 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.