| Kenneth John Whipple, DO | |
|
5700 E Highway 90, Sierra Vista, AZ 85635-9110 | |
| (520) 263-2000 | |
| Not Available |
| Full Name | Kenneth John Whipple |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 5700 E Highway 90, Sierra Vista, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922040807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 010597 (Arizona) | Primary |
| 207L00000X | Anesthesiology | 010611 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | 3692 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Billings Clinic | Billings, MT | Hospital |
| Yuma Regional Medical Center | Yuma, AZ | Hospital |
| Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yuma Regional Medical Center | 2062314826 | 388 |
| Billings Clinic | 6002993516 | 815 |
| Northeastern Anesthesia Pllc | 4284813940 | 83 |
| Entity Name | Anesthesia Services Of Arizona Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336857085 PECOS PAC ID: 6608247374 Enrollment ID: O20230118000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth John Whipple, DO 401 15th Ave S Ste 109, Great Falls, MT 59405-4334 Ph: (406) 727-6311 | Kenneth John Whipple, DO 5700 E Highway 90, Sierra Vista, AZ 85635-9110 Ph: (520) 263-2000 |
James F. Buttke, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 77 Calle Portal, Suite B260a, Sierra Vista, AZ 85635 Phone: 520-515-9751 Fax: 520-515-9786 | |
Radwan Saba, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3533 Canyon De Flores, Suite A, Sierra Vista, AZ 85650 Phone: 520-515-9751 Fax: 520-515-9786 | |
Dr. Tae-uk Cho, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 77 Calle Portal, Suite B260a, Sierra Vista, AZ 85635 Phone: 520-515-9751 Fax: 520-515-9786 | |
Venkatesh Nara, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 77 Calle Portal, Suite B260a, Sierra Vista, AZ 85635 Phone: 520-515-9751 Fax: 520-515-9786 |