Kenneth Robert Moll (NPI# 1326012337, PAC ID# 0143215558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1326012337 |
| PAC ID by PECOS | 0143215558 |
| Professional Enrollment ID | I20111128000753 |
| Full Name | Kenneth Robert Moll |
| Organization Legal Name | FAMILY PRACTICE ASSOCIATES LLC |
| Address |
2841 Debarr Rd Anchorage AK 99508-2967 |
| Phone Number | 9072641738 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2264427673 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020017 | ALASKA REGIONAL HOSPITAL |
| 020001 | PROVIDENCE ALASKA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2841 Debarr Rd, Anchorage, AK 99508-2967 | 9072641738 | FAMILY PRACTICE ASSOCIATES LLC |
| 2841 Debarr Rd, Suite 31, Anchorage, AK 99508-2967 | 9072641738 | FAMILY PRACTICE ASSOCIATES LLC |
| Organization Legal Name | FAMILY PRACTICE ASSOCIATES LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan P Tompkins | Nurse Practitioner | Family Practice Associates LLC | 1704 S Forest Ave, Luverne, AL 36049-7306 |
| Holland S Pouncey | Physician Assistant | Family Practice Associates LLC | 1704 S Forest Ave, Luverne, AL 36049-7306 |
| Charles S Tompkins | Family Medicine | Family Practice Associates LLC | 1704 S Forest Ave, Luverne, AL 36049-7306 |
| Elizabeth Flint | Nurse Practitioner | Family Practice Associates LLC | 1704 S Forest Ave, Luverne, AL 36049-7306 |
| Street Address |
2841 DEBARR RD |
| City | ANCHORAGE |
| State | AK |
| Zip | 99508-2967 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geronimo Sahagun | Gastroenterology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
| Janice A Koval | Endocrinology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
| William E Curtis | Cardiac Surgery | 2841 Debarr Rd, Suite 44, Anchorage, AK 99508-2968 | |
| Susan J Canafax | Nurse Practitioner | 2841 Debarr Rd, Suite 25, Anchorage, AK 99508-2967 | |
| Michael Robert Valantas | Gastroenterology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
| Kimberly D Houghton | Gastroenterology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
| Jason R Savikko | Diagnostic Radiology | Radiology Services of Alaska Inc. | 2841 Debarr Rd, Suite 12, Anchorage, AK 99508-2968 |
| Douglas B Haghighi | Gastroenterology | Internal Medicine Associates LLC | 2841 Debarr Rd, Suite 50, Anchorage, AK 99508-2945 |
| Matthew V Cronin | Interventional Radiology | Radiology Services of Alaska Inc. | 2841 Debarr Rd, Suite 12, Anchorage, AK 99508-2968 |
| Lawrence P. Wood | Diagnostic Radiology | Radiology Services of Alaska Inc. | 2841 Debarr Rd, Suite 12, Anchorage, AK 99508-2968 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Mark Vanravenswaay | Family Medicine | 3521 Mountain View Dr, Anchorage, AK 99508-1111 | |
| Aaron M Dechant | Chiropractic | Better Health Pain and Wellness Centers, LLC | 729 Northway Dr, Anchorage, AK 99508-2030 |
| Doron Ben Avi | Diagnostic Radiology | Alaska Imaging Associates, LLC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Even R Evanson | Physician Assistant | Alaska Heart Institute | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Alexis Delgado | Critical Care (intensivists) | Alaska Hospitalist Group LLC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Suzanne C Grey | Certified Registered Nurse Anesthetist (crna) | Denali Anesthesia, P.C. | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Anthony K Larson | Family Medicine | South Sound Inpatient Physicians Pllc | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| David James Scordino | Emergency Medicine | Denali Emergency Medicine Assoc PC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Charles L Wilson | Internal Medicine | South Sound Inpatient Physicians Pllc | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Joshua J Sahara | Emergency Medicine | Denali Emergency Medicine Assoc PC | 2801 Debarr Rd, Anchorage, AK 99508-2932 |
| Find all physicians in zip 99508 | |||
| City | ANCHORAGE |
| Zip Code | 99508 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | ANCHORAGE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kenneth Robert Moll.
| 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.