Kenneth W Carr (NPI# 1396738266, PAC ID# 9234213794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1396738266 |
| PAC ID by PECOS | 9234213794 |
| Professional Enrollment ID | I20080313000513 |
| Full Name | Kenneth W Carr |
| Address |
115 Mount Pelia Rd Martin TN 38237-3315 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| 440061 | VOLUNTEER COMMUNITY HOSPITAL |
| 440130 | BAPTIST MEMORIAL HOSPITAL UNION CITY |
| Address | Phone | Organization |
|---|---|---|
| 115 Mount Pelia Rd, Martin, TN 38237-3315 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
115 MOUNT PELIA RD |
| City | MARTIN |
| State | TN |
| Zip | 38237-3315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Wright | Optometry | Donald P Wright and A Peter Bukeavich Ptrs | 145 Kennedy Dr, Martin, TN 38237-0438 |
| Alfred Bukeavich | Optometry | Donald P Wright and A Peter Bukeavich Ptrs | 145 Kennedy Dr, Martin, TN 38237-0438 |
| William F Kimmer | Optometry | 134 Courtright Rd, Martin, TN 38237-1606 | |
| Kelly Elizabeth Rawls | Physician Assistant | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Kristina L Pollock | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Marcy Little | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Angela D Warren | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Jessica Millraney | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Sherry Gallimore | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Mark Vinson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 108 Courtright Rd, Martin, TN 38237-1607 |
| Find all physicians in zip 38237 | |||
| City | MARTIN |
| Zip Code | 38237 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARTIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth W Carr.
| 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.