Kenneth Edward Ellingwood (NPI# 1134111537, PAC ID# 1951330208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1134111537 |
| PAC ID by PECOS | 1951330208 |
| Professional Enrollment ID | I20100825000197 |
| Full Name | Kenneth Edward Ellingwood |
| Organization Legal Name | UROLOGY AND ONCOLOGY SPECIALISTS P.C. |
| Address |
3719 Dauphin St Suite 100 Mobile AL 36608-1769 |
| Phone Number | 2514145665 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 4385635259 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010144 | SPRINGHILL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3719 Dauphin St, Suite 100, Mobile, AL 36608-1769 | 2514145665 | UROLOGY AND ONCOLOGY SPECIALISTS P.C. |
| Organization Legal Name | UROLOGY AND ONCOLOGY SPECIALISTS P.C. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latrinia H Franklin | Physician Assistant | Urology and Oncology Specialists P.C. | 3719 Dauphin St, Suite 100, Mobile, AL 36608-1769 |
| William R Sanderson | Urology | Urology and Oncology Specialists P.C. | 3719 Dauphin St, Suite 100, Mobile, AL 36608-1769 |
| Robert M Weinacker | Radiation Oncology | Urology and Oncology Specialists P.C. | 3719 Dauphin St, Suite 100, Mobile, AL 36608-1769 |
| Charles T Hughes | Urology | Urology and Oncology Specialists P.C. | 3719 Dauphin St, Suite 100, Mobile, AL 36608-1769 |
| Joseph M Schultz | Urology | Urology and Oncology Specialists P.C. | 101 Memorial Hospital Dr, Suite 100, Mobile, AL 36608-1787 |
| Kathryn S Coletta | Nurse Practitioner | Urology and Oncology Specialists P.C. | 101 Memorial Hospital Dr, Suite 100, Mobile, AL 36608-1787 |
| Donald D Kidd | Urology | Urology and Oncology Specialists P.C. | 3719 Dauphin St, Mobile, AL 36608-1769 |
| Street Address |
3719 DAUPHIN ST SUITE 100 |
| City | MOBILE |
| State | AL |
| Zip | 36608-1769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latrinia H Franklin | Physician Assistant | Urology and Oncology Specialists P.C. | 3719 Dauphin St, Suite 100, Mobile, AL 36608-1769 |
| Jeffrey R George | Hematology/oncology | Southern Cancer Center PC | 3719 Dauphin St, Suite 5, Mobile, AL 36608-1753 |
| Ashik J Jivan | Anesthesiology | Physynergy LLC | 3719 Dauphin St, Mobile, AL 36608-1753 |
| Carrie N Sims | Certified Registered Nurse Anesthetist (crna) | Physynergy LLC | 3719 Dauphin St, Mobile, AL 36608-1753 |
| Rashna Shetty | Internal Medicine | Inpatient Consultants of Alabama, Inc | 3719 Dauphin St, Mobile, AL 36608-1753 |
| William R Sanderson | Urology | Urology and Oncology Specialists P.C. | 3719 Dauphin St, Suite 100, Mobile, AL 36608-1769 |
| M Jason R Davis | Certified Registered Nurse Anesthetist (crna) | Physynergy LLC | 3719 Dauphin St, Mobile, AL 36608-1753 |
| Stephen R Sheppard | Plastic and Reconstructive Surgery | 3719 Dauphin St, Suite 101, Mobile, AL 36608-1769 | |
| William R Miller | Emergency Medicine | Springhill Emergency Physicians, PC | 3719 Dauphin St, Mobile, AL 36608-1753 |
| Craig S Larson | Diagnostic Radiology | Springhill Diagnostic Radiologists, P.C. | 3719 Dauphin St, Mobile, AL 36608-1753 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi L Kohn | Nurse Practitioner | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| Donald L Bedsole | Critical Care (intensivists) | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| Brian Sumrall | Pulmonary Disease | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| Kevin Scott Saucier | Pulmonary Disease | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| Ashley W Wiggins | Nurse Practitioner | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| Randy Gene Dotson | Pulmonary Disease | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| Lauren G King | Nurse Practitioner | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| Daniel J Pollman | Pulmonary Disease | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| William L Davidson Ii | Allergy/immunology | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| James A Dean | Pulmonary Disease | Pulmonary Associates of Mobile, P.C. | 100 Memorial Hosp, 1a, Mobile, AL 36608-1128 |
| Find all physicians in zip 36608 | |||
| City | MOBILE |
| Zip Code | 36608 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | MOBILE + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Kenneth Edward Ellingwood.
| 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.