Kenneth B Maybury (NPI# 1295733459, PAC ID# 9638230261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295733459 |
| PAC ID by PECOS | 9638230261 |
| Professional Enrollment ID | I20081201000734 |
| Full Name | Kenneth B Maybury |
| Address |
1661 Pine St San Francisco CA 94109-0401 |
| Phone Number | 4154475571 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050047 | CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP |
| 050457 | ST MARY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Shrader St, Suite 570, San Francisco, CA 94117-1044 | 4154220998 | |
| 1661 Pine St, San Francisco, CA 94109-0401 | 4154475571 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1661 PINE ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip | 94109-0401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin S Liberman | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Stephen E Hall | Psychiatry | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Loren Clifford Stolle | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 | |
| Richard J Moore | Internal Medicine | 1661 Pine St, San Francisco, CA 94109-0401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail J Goetz | Physician Assistant | Nicholas H Mast Md Inc | 119 Bush St, Suite 300, San Francisco, CA 94109 |
| Kari Jo Vanocker | Physician Assistant | Nicholas H Mast Md Inc | 119 Bush St, Suite 300, San Francisco, CA 94109 |
| Ahvie Herskowitz | Internal Medicine | 1700 California St, Suite 520, San Francisco, CA 94109-0430 | |
| Kaveri Korgavkar Karhade | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Eric Petrie Smith | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Kevin Mcmullen | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Henry Oyharcabal | Chiropractic | 2305 Van Ness Ave B, San Francisco, CA 94109-1899 | |
| Katherine Mcdermont Afzal | Chiropractic | 1545 Broadway, Suite 1a, San Francisco, CA 94109-2539 | |
| Sergio Azzolino | Chiropractic | 1545 Broadway, 1a, San Francisco, CA 94109-2539 | |
| Rachman L Chung | Chiropractic | 1545 Broadway, Suite 1a, San Francisco, CA 94109-2539 | |
| Find all physicians in zip 94109 | |||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN FRANCISCO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth B Maybury.
| 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.