KENNETH BRENT KUMMERFELD (NPI# 1861487274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861487274 |
| Entity Type | Individual |
| Full Name | KENNETH BRENT KUMMERFELD |
| Credential | MD |
| Practice Address |
703 S Fleishel Ave Ste 4000 Tyler TX 75701-2015 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9036067525 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2016-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
F4185 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UNITED HEALTHCARE | 033371305 | 01 |
| TX | AETNA | 4416261 | 01 |
| TX | 123074004 | 05 | |
| TX | BCBS | 89425J | 01 |
| TX | TRICARE | 752616977007 | 01 |
| Street Address |
703 S FLEISHEL AVE STE 4000 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535054 | Stephanie S Carter | Physician Assistant | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 | 2005-08-18 |
| 1386274066 | Wesley Paul Waters | Pharmacist | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701-2015 | 2020-01-22 |
| 1790139368 | Rolake Ajike Kuye | Pharmacist | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701-2015 | 2016-04-20 |
| 1568751196 | Pedro Manuel Calderon Artero | Internal Medicine | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 | 2011-04-05 |
| 1497747273 | Ted Michael Williams | Physician Assistant | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701-2015 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376538801 | Tyler Cardiovascular Consultants P.a. | Internal Medicine | 2608 Mcdonald Rd Ste 100, Tyler, TX 75701-5934 | 2005-09-12 |
| 1831261809 | Oscar A Paniagua | Internal Medicine | 703 S Fleishel Ave, Ste 4000, Tyler, TX 75701-2015 | 2006-11-14 |
| 1043220643 | William R. Powell | Internal Medicine | 910 E Houston St, Tyler, TX 75702-8369 | 2006-08-08 |
| 1528074317 | James A. Caccitolo | Internal Medicine | 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 | 2006-07-31 |
| 1699778035 | Stephen L. Sigal | Internal Medicine | 820 S Baxter Ave, Tyler, TX 75701-2225 | 2005-05-31 |
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| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.