Khongruk Wongkittiroch (NPI# 1205003068, PAC ID# 4183872237) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1205003068 |
| PAC ID by PECOS | 4183872237 |
| Professional Enrollment ID | I20120913000723 |
| Full Name | Khongruk Wongkittiroch |
| Organization Legal Name | SKIN AND CANCER ASSOCIATES |
| Address |
2838 E Oakland Park Boulevard S. 201 Fort Lauderdale FL 33306-1814 |
| Phone Number | 9545640040 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1759284847 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2838 E Oakland Park Boulevard, S. 201, Fort Lauderdale, FL 33306-1814 | 9545640040 | SKIN AND CANCER ASSOCIATES |
| 201 Nw 82nd Ave, Plantation, FL 33324-7808 | SKIN AND CANCER ASSOCIATES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 54% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 15% |
| Organization Legal Name | SKIN AND CANCER ASSOCIATES |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin R. Rubin | Dermatology | Skin and Cancer Associates | 1460 N University Dr, Coral Springs, FL 33071-6040 |
| Stuart Sobel | Dermatology | Skin and Cancer Associates | 4340 Sheridan St, Suite 101, Hollywood, FL 33021-3567 |
| Jodi A Fiedler | Dermatology | Skin and Cancer Associates | 21020 State Rd, 7 Suite 120, Boca Raton, FL 33428-1320 |
| Janet C Teltscher | Dermatology | Skin and Cancer Associates | 2925 Aventura Blvd, Aventura, FL 33180-3124 |
| David E Pascoe | Dermatology | Skin and Cancer Associates | 1903 Welby Way, Tallahassee, FL 32308-4453 |
| Robin I Shecter | Dermatology | Skin and Cancer Associates | 201 Nw 82nd Ave, Plantation, FL 33324-7808 |
| Brian J Katz | Dermatology | Skin and Cancer Associates | 2925 Aventura Blvd, Aventura, FL 33180-3124 |
| Mark S Nestor | Dermatology | Skin and Cancer Associates | 2925 Aventura Blvd, Aventura, FL 33180-3124 |
| Daniel Rivlin | Dermatology | Skin and Cancer Associates | 2100 E Hallandale Beach Blvd, Hallandale, FL 33009-3765 |
| David M Sharaf | Dermatology | Skin and Cancer Associates | 201 Nw 82nd Ave, Plantation, FL 33324-7808 |
| Street Address |
2838 E OAKLAND PARK BOULEVARD S. 201 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip | 33306-1814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darin L Bush | Family Medicine | 3101 N Federal Hwy, Suite 201, Oakland Park, FL 33306-1041 | |
| David W Moskowitz | Internal Medicine | Caps Medical Management LLC | 3471n Federal Hwy 202, Fort Lauderdale, FL 33306-1048 |
| Debra J Tantillo | Clinical Social Worker | 3471 N Federal Hwy, Suite 205, Ft Lauderdale, FL 33306-1048 | |
| Tony M Momeni | Family Medicine | Amicus Medical Center LLC | 3471 N Federal Hwy, Suite 202, Fort Lauderdale, FL 33306-1048 |
| Peter Jon Simon | Plastic and Reconstructive Surgery | 3201 N Federal Hwy, Suite 302, Fort Lauderdale, FL 33306-1060 | |
| Donna L Watson | Chiropractic | 2034 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1107 | |
| Gregory Schachtman | Optometry | 2140 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1109 | |
| Yvrose Olivier | Nurse Practitioner | Florida Practitioners, LLC | 1995 E Oakland Park Blvd, Suite 250, Fort Lauderdale, FL 33306-1149 |
| John H Bascome | Optometry | Broward Eyecare Associates | 2502 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1601 |
| Paul Klein | Optometry | Broward Eyecare Associates | 2502 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1601 |
| Find all physicians in zip 33306 | |||
| City | FORT LAUDERDALE |
| Zip Code | 33306 |
| Specialty | DERMATOLOGY |
| City + Specialty | FORT LAUDERDALE + DERMATOLOGY |
Please comment or provide details below to improve the information on Khongruk Wongkittiroch.
| 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.