Michael T Kinkade (NPI# 1588774889, PAC ID# 3678468329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588774889 |
| PAC ID by PECOS | 3678468329 |
| Professional Enrollment ID | I20040220000297 |
| Full Name | Michael T Kinkade |
| Organization Legal Name | SSM AUDRAIN HEALTH CARE INC |
| Address |
204 W Washington St Vandalia MO 63382-1473 |
| Phone Number | 5735943800 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678481827 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260064 | SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN |
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3626 S Clark St C, Mexico, MO 65265-4104 | 5735820850 | SSM AUDRAIN HEALTH CARE INC |
| 204 W Washington St, Vandalia, MO 63382-1473 | 5735943800 | SSM AUDRAIN HEALTH CARE INC |
| Organization Legal Name | SSM AUDRAIN HEALTH CARE INC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina Hill | Nurse Practitioner | Ssm Audrain Health Care Inc | 3626 S Clark St C, Mexico, MO 65265-4104 |
| Nathan W Skelley | Orthopedic Surgery | Ssm Audrain Health Care Inc | 515 E Promenade, Ssm Health Medical Group Orthopedic Surgery, Mexico, MO 65265-2966 |
| Jeffrey T Vacek | Nurse Practitioner | Ssm Audrain Health Care Inc | 1223 E Main St, Ssm Health Medical Group Family Medicine, Perry, MO 63462-1410 |
| Nathan T Kenyon | Physical Medicine and Rehabilitation | Ssm Audrain Health Care Inc | 515 E Promenade St, Ssm Health Med Group, Mexico, MO 65265-2966 |
| Kristina M Boylan | Nurse Practitioner | Ssm Audrain Health Care Inc | 240 Pickering St, Montgomery City, MO 63361-1941 |
| Rebecca Kelley | Family Medicine | Ssm Audrain Health Care Inc | 201 S Main St, Ssm Health Med Grp Fam Medicine, Auxvasse, MO 65231-1624 |
| Eric F Kondro | Internal Medicine | Ssm Audrain Health Care Inc | 111 W Bates St, Ssm Health Medical Group Family Medicine, Wellsville, MO 63384-1616 |
| Michael L Quinlan | Internal Medicine | Ssm Audrain Health Care Inc | 600 Medical Park Dr, Mexico, MO 65265-3724 |
| Simon Mckeown | Family Medicine | Ssm Audrain Health Care Inc | 350 Country Meadow Ln, Fulton, MO 65251-5278 |
| Michael G Beat | Radiation Oncology | Ssm Audrain Health Care Inc | 620 E Monroe St, Audrain Medical Center, Mexico, MO 65265-2919 |
| Street Address |
204 W WASHINGTON ST |
| City | VANDALIA |
| State | MO |
| Zip | 63382-1473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly K Cordes | Nurse Practitioner | Ssm Audrain Health Care Inc | 204 W Washington St, Vandalia, MO 63382-1473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron M Trone | General Practice | Pike County Memorial Hospital | 425 N Galloway Rd, Pcmh Clinic, Vandalia, MO 63382-1259 |
| Crisanto S Gualberto | General Practice | 106 W State St, Vandalia, MO 63382-1737 | |
| Michael R Cole | Chiropractic | 201 S Main St, Vandalia, MO 63382-1807 |
| City | VANDALIA |
| Zip Code | 63382 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VANDALIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael T Kinkade.
| 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.