Kenneth J Visalli (NPI# 1093081358, PAC ID# 2264724798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093081358 |
| PAC ID by PECOS | 2264724798 |
| Professional Enrollment ID | I20160701001274 |
| Full Name | Kenneth J Visalli |
| Organization Legal Name | SLOCUM DICKSON MEDICAL GROUP PLLC |
| Address |
1729 Burrstone Rd New Hartford NY 13413-1001 |
| Phone Number | 3157981500 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5799778510 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330044 | FAXTON-ST LUKE'S HEALTHCARE |
| 330215 | ROME MEMORIAL HOSPITAL, INC |
| 330245 | ST ELIZABETH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 3157981500 | SLOCUM DICKSON MEDICAL GROUP PLLC |
| Organization Legal Name | SLOCUM DICKSON MEDICAL GROUP PLLC |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dayal D Raja | Endocrinology | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Ivan Antonevich | Pain Management | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Michael J Mcnulty | Pain Management | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Suzanne W Buschor | Physical Therapy | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Radaranys Brea | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Pony Nancy Sokiri | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Celesta M Hunsiker | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| David Nicholas Campola Jr. | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Adnan Cemer | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Stephanie Marie Calenzo | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Street Address |
1729 BURRSTONE RD |
| City | NEW HARTFORD |
| State | NY |
| Zip | 13413-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dayal D Raja | Endocrinology | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Michael J Mcnulty | Pain Management | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Suzanne W Buschor | Physical Therapy | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Radaranys Brea | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Pony Nancy Sokiri | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Celesta M Hunsiker | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| David Nicholas Campola Jr. | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Adnan Cemer | Internal Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Stephanie Marie Calenzo | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Tami L Harris | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi A Roloson | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Dennis Golis | Physician Assistant | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Ute H Dreiner | Rheumatology | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Sejla Grosonja | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Najmus Saqib | Diagnostic Radiology | Cmi Professional Services LLP | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Shelly L Hearn | Family Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Susan Spring Keeler | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Tony Christopher Newell | Physical Therapy | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Roger W Norton | Family Medicine | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Nathaniel S Gould | Physical Medicine and Rehabilitation | Slocum Dickson Medical Group Pllc | 1729 Burrstone Rd, New Hartford, NY 13413-1001 |
| Find all physicians in zip 13413 | |||
| City | NEW HARTFORD |
| Zip Code | 13413 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NEW HARTFORD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth J Visalli.
| 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.