Kerry A S Proctor (NPI# 1235353863, PAC ID# 2769570704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1235353863 |
| PAC ID by PECOS | 2769570704 |
| Professional Enrollment ID | I20071108000588 |
| Full Name | Kerry A S Proctor |
| Organization Legal Name | COLUMBIA GORGE PATHOLOGY ASSOCIATES, LLP |
| Address |
1700 E 19th St The Dalles OR 97058-3317 |
| Phone Number | 5415066427 |
| Gender | F |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 9739343526 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380001 | MID-COLUMBIA MEDICAL CENTER |
| 501315 | SKYLINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1700 E 19th St, The Dalles, OR 97058-3317 | 5415066427 | COLUMBIA GORGE PATHOLOGY ASSOCIATES, LLP |
| Organization Legal Name | COLUMBIA GORGE PATHOLOGY ASSOCIATES, LLP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hahn Huang | Pathology | Columbia Gorge Pathology Associates, LLP | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Street Address |
1700 E 19TH ST |
| City | THE DALLES |
| State | OR |
| Zip | 97058-3317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Florek | Cardiac Electrophysiology | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Jason R Morich | Internal Medicine | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Steven L Rosonke | Emergency Medicine | Healthcare for The Mid-columbia Region | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Thomas A Nichol | Internal Medicine | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Mandelynn G Pray | Certified Nurse Midwife (cnm) | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Lynne M Allen | Nurse Practitioner | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Matthew Labarbera | Interventional Cardiology | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Maricela Elena Bandel-ramirez | Nurse Practitioner | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Angus K Burns | Anesthesiology | 1700 E 19th St, The Dalles, OR 97058-3317 | |
| Dong Xiang | Hematology/oncology | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary H Zega | Chiropractic | 818 W 6th St, Suite 2, The Dalles, OR 97058-1147 | |
| Byron Akita | Chiropractic | 818 W 6th St, Suite 5, The Dalles, OR 97058-1147 | |
| Sandra E Bartholomew | Clinical Social Worker | 405 W 4th St, The Dalles, OR 97058-1305 | |
| Amy S Marshall | Clinical Social Worker | 403 W, 4th, The Dalles, OR 97058-1305 | |
| Stefanie Joy Lowe | Chiropractic | 100 E 2nd St, The Dalles, OR 97058-1704 | |
| Alexander C Yu | Allergy/immunology | David E Bilstrom Md PC | 101 E 3rd St, The Dalles, OR 97058-1711 |
| David E Bilstrom | Allergy/immunology | David E Bilstrom Md PC | 101 E 3rd St, The Dalles, OR 97058-1711 |
| Wendy L Sheldon | Nurse Practitioner | David E Bilstrom Md PC | 101 E 3rd St, The Dalles, OR 97058-1711 |
| Gregory L Keilman | Chiropractic | 113 E 2nd St, Suite A, The Dalles, OR 97058-1736 | |
| Rebecca K Street | Physical Therapy | 115 W 4th St, The Dalles, OR 97058-1803 | |
| Find all physicians in zip 97058 | |||
| City | THE DALLES |
| Zip Code | 97058 |
| Specialty | PATHOLOGY |
| City + Specialty | THE DALLES + PATHOLOGY |
Please comment or provide details below to improve the information on Kerry A S Proctor.
| 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.