Kendall P Tabor Sr.
SOUTHWEST FOOT AND ANKLE SPECIALISTS, PC


Address: 515 Howard St, Kalamazoo, MI 49008-1917
Phone: 2693851000

Kendall P Tabor Sr. (NPI# 1184620908, PAC ID# 4789652082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1184620908
PAC ID by PECOS 4789652082
Professional Enrollment ID I20040923001114
Full Name Kendall P Tabor Sr.
Organization Legal Name SOUTHWEST FOOT AND ANKLE SPECIALISTS, PC
Address 515 Howard St
Kalamazoo
MI 49008-1917
Phone Number 2693851000
Gender M
Credential DPM
Medical School PENNSYLVANIA COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1980
Primary Specialty PODIATRY
Group Practice PAC ID 9638119423
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230017 BRONSON METHODIST HOSPITAL
230117 BORGESS MEDICAL CENTER

Other Locations

Address Phone Organization
515 Howard St, Kalamazoo, MI 49008-1917 2693851000 SOUTHWEST FOOT AND ANKLE SPECIALISTS, PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

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_047_overall Care Plan 100%
MIPS_EC_126_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation 100%
MIPS_EC_127_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear 100%

Organization Information

Organization Legal Name SOUTHWEST FOOT AND ANKLE SPECIALISTS, PC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Tamara Marie Whitaker Podiatry Southwest Foot and Ankle Specialists, PC 515 Howard St, Kalamazoo, MI 49008-1917

Office Location

Street Address 515 HOWARD ST
City KALAMAZOO
State MI
Zip 49008-1917

Physicians in the same location

Name Specialty Organization Address
Tamara Marie Whitaker Podiatry Southwest Foot and Ankle Specialists, PC 515 Howard St, Kalamazoo, MI 49008-1917

Physicians in the same zip code

Name Specialty Organization Address
Naseer Ahmed Internal Medicine State of Michigan 1312 Oakland Dr, Kalamazoo, MI 49008-1205
Ramasubba R Tatini Psychiatry State of Michigan 1312 Oakland Dr, Kalamazoo, MI 49008-1205
Robert C Shaw Jr. Psychiatry State of Michigan 1312 Oakland Dr, Kalamazoo, MI 49008-1205
Deolixto Pascual Psychiatry State of Michigan 1312 Oakland Dr, Kalamazoo, MI 49008-1205
Timothy Byon Family Medicine State of Michigan 1312 Oakland Dr, Kalamazoo, MI 49008-1205
Argelio Lopez-roca Psychiatry State of Michigan 1312 Oakland Dr, Kalamazoo, MI 49008-1205
Anthony O Anunwa Psychiatry State of Michigan 1312 Oakland Dr, Kalamazoo, MI 49008-1205
Martha M Mann Psychiatry State of Michigan 1312 Oakland Dr, Kalamazoo, MI 49008-1205
Jayne Anne Barr Internal Medicine Western Michigan University School of Medicine 1000 Oakland Dr, Kalamazoo, MI 49008-1282
Richard R Roach Internal Medicine Western Michigan University School of Medicine 1000 Oakland Dr, Kalamazoo, MI 49008-1282
Find all physicians in zip 49008

Competitor

Search similar physicians

City KALAMAZOO
Zip Code 49008
Specialty PODIATRY
City + Specialty KALAMAZOO + PODIATRY

Improve Information

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Dataset Information

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.

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