| Mr Kenneth J Parker, MD | |
|
109 Morrison Dr, Princeton, WV 24740-2322 | |
| (304) 487-3559 | |
| (304) 487-7928 |
| Full Name | Mr Kenneth J Parker |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 109 Morrison Dr, Princeton, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295893360 | NPI | - | NPPES |
| 0059772000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 168155 (West Virginia) | Primary |
| Entity Name | Doctors Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265697 PECOS PAC ID: 0840284071 Enrollment ID: O20040412000886 |
| Entity Name | East River Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740711795 PECOS PAC ID: 2961770169 Enrollment ID: O20170612002178 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth J Parker, MD Po Box 1143, Princeton, WV 24740-1143 Ph: (304) 487-3559 | Mr Kenneth J Parker, MD 109 Morrison Dr, Princeton, WV 24740-2322 Ph: (304) 487-3559 |
Mr. Erez A Ofir, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 109 Morrison Dr, Princeton, WV 24740 Phone: 304-487-3559 Fax: 304-487-7928 | |
Mr. David J Larkin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 65 New Hope Rd, Princeton, WV 24740 Phone: 304-425-9724 Fax: 304-425-9724 | |
Mrs. Sherri B Ross, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 109 Morrison Dr, Princeton, WV 24740 Phone: 304-487-3559 Fax: 304-487-7928 | |
Dr. Michael Joseph Bowling, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 109 Morrison Dr, Princeton, WV 24740 Phone: 304-487-3559 Fax: 304-487-7928 | |
Mr. Jose S Espanol, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 65 New Hope Rd, Princeton, WV 24740 Phone: 304-425-9724 Fax: 304-425-9724 |