Kenneth E Stanley Iii (NPI# 1518984137, PAC ID# 0042204737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1518984137 |
| PAC ID by PECOS | 0042204737 |
| Professional Enrollment ID | I20050224000490 |
| Full Name | Kenneth E Stanley Iii |
| Organization Legal Name | KS UROLOGY INC |
| Address |
1220 E Elm St Suite 101 Lima OH 45804-2803 |
| Phone Number | 4192280570 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1850456708 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360009 | LIMA MEMORIAL HEALTH SYSTEM |
| 360013 | WILSON MEMORIAL HOSPITAL |
| 360066 | ST RITA'S MEDICAL CENTER |
| 360197 | MARY RUTAN HOSPITAL |
| 360032 | GRAND LAKE HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1220 E Elm St, Suite 101, Lima, OH 45804-2803 | 4192280570 | KS UROLOGY INC |
| 1220 E Elm St, Lima, OH 45804-2803 | 4192280570 | KS UROLOGY INC |
| Organization Legal Name | KS UROLOGY INC |
| Physicians | 1 |
| Street Address |
1220 E ELM ST SUITE 101 |
| City | LIMA |
| State | OH |
| Zip | 45804-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjorie A Demund | Obstetrics/gynecology | Lima Memorial Professional Corporation | 1220 E Elm St, Suite 101, Lima, OH 45804-2803 |
| Nicole M Pothast | Certified Nurse Midwife (cnm) | Lima Memorial Professional Corporation | 1220 E Elm St, Suite 101, Lima, OH 45804-2803 |
| Rhonda J Medina | Obstetrics/gynecology | Lima Memorial Professional Corporation | 1220 E Elm St, Suite 101, Lima, OH 45804-2803 |
| Debra D Newton | Certified Nurse Midwife (cnm) | Lima Memorial Professional Corporation | 1220 E Elm St, Suite 101, Lima, OH 45804-2803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Praveena Prasai-sharma | Nurse Practitioner | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Erin Np Miller | Nurse Practitioner | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Robert A Crook | Clinical Social Worker | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Lori Acerro | Clinical Social Worker | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Kelly Jean Kunkler | Nurse Practitioner | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Steven Mates | Nurse Practitioner | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Kimberly Butler | Clinical Social Worker | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Shannon R Wesley | Colorectal Surgery (proctology) | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Noorul H Khan | General Surgery | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Susan Morris | Family Medicine | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Find all physicians in zip 45804 | |||
| City | LIMA |
| Zip Code | 45804 |
| Specialty | UROLOGY |
| City + Specialty | LIMA + UROLOGY |
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| 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.