Kenneth Clark Susong (NPI# 1972573343, PAC ID# 3971640962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1972573343 |
| PAC ID by PECOS | 3971640962 |
| Professional Enrollment ID | I20091023000308 |
| Full Name | Kenneth Clark Susong |
| Address |
110 Spencer St Greeneville TN 37745-3822 |
| Phone Number | 4236387191 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1959 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440025 | LAUGHLIN MEMORIAL HOSPITAL, INC |
| 440050 | TAKOMA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 110 Spencer St, Greeneville, TN 37745-3822 | 4236387191 |
| Street Address |
110 SPENCER ST |
| City | GREENEVILLE |
| State | TN |
| Zip | 37745-3822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor N England | Optometry | Greeneville Vision Center | 204 Emory Rd, Greeneville, TN 37745 |
| James A Yandell | Optometry | Greeneville Vision Center | 204 Emory Rd, Greeneville, TN 37745 |
| Saprina F Fender | Nurse Practitioner | 130 Serral Dr, Greeneville, TN 37745-3074 | |
| Estelle Strydom | Occupational Therapy | State of Tennessee | 4850 E Andrew Johnson Hwy, Greeneville, TN 37745-3098 |
| John K Clement | Optometry | 1539 Industrial Rd, Greeneville, TN 37745-3549 | |
| Marsi S Mullins | Physician Assistant | Health Express | 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 |
| Charles Adam Willis | Nurse Practitioner | Health Express | 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 |
| Charles L Backus Iii | Emergency Medicine | Health Express | 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 |
| Michelle Diane Barefield | Physical Therapy | Greeneville Orthopaedic Clinic, P.C. | 223 N Main St, Greeneville, TN 37745-3815 |
| John Leon Freeman Jr. | Orthopedic Surgery | Greeneville Orthopaedic Clinic, P.C. | 223 N Main St, Greeneville, TN 37745-3815 |
| Find all physicians in zip 37745 | |||
| City | GREENEVILLE |
| Zip Code | 37745 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | GREENEVILLE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Kenneth Clark Susong.
| 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.