Kenneth E Krzyzaniak (NPI# 1265423479, PAC ID# 5799683223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1265423479 |
| PAC ID by PECOS | 5799683223 |
| Professional Enrollment ID | I20061024000194 |
| Full Name | Kenneth E Krzyzaniak |
| Organization Legal Name | ATLANTIC UROLOGY CLINICS LLC |
| Address |
3600 Sea Mountain Hwy Suite D Little River SC 29566-8161 |
| Phone Number | 8433998930 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 0840296638 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420098 | TIDELANDS WACCAMAW COMMUNITY HOSPITAL |
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 | 8433998930 | ATLANTIC UROLOGY CLINICS LLC |
| 4367 Riverwood Dr, Suite 110, Murrells Inlet, SC 29576-4381 | 8433571066 | ATLANTIC UROLOGY CLINICS LLC |
| 101 Mcleod Health Blvd, Suite 202, Myrtle Beach, SC 29579-4477 | 8432365004 | ATLANTIC UROLOGY CLINICS LLC |
| 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 8434491010 | ATLANTIC UROLOGY CLINICS LLC |
| 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 | 44% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 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) | 10% |
| Organization Legal Name | ATLANTIC UROLOGY CLINICS LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey A Rogers | Nurse Practitioner | Atlantic Urology Clinics LLC | 823 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Renee J Flanegan | Nurse Practitioner | Atlantic Urology Clinics LLC | 199 Village Ctr Blvd, Suite 100, Myrtle Beach, SC 29579-3589 |
| Melanie D Lawrence | Nurse Practitioner | Atlantic Urology Clinics LLC | 394 Singleton Ridge Rd, Conway, SC 29526-9150 |
| Neal D Shore | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Harvey W Putnam Jr. | Physician Assistant | Atlantic Urology Clinics LLC | 4000 Hwy 9 E, Suite 275, Little River, SC 29566-7833 |
| Lauren D Evans | Nurse Practitioner | Atlantic Urology Clinics LLC | 4000 Hwy 9 E, Suite 275, Little River, SC 29566-7833 |
| Walter L Frank | Urology | Atlantic Urology Clinics LLC | 1001 N Fraser St, Georgetown, SC 29440-2848 |
| Kailen Gonzalez | Physician Assistant | Atlantic Urology Clinics LLC | 394 Singleton Ridge Rd, Conway, SC 29526-9150 |
| Andrew R Grudzinski | Urology | Atlantic Urology Clinics LLC | 394 Singleton Ridge Rd, Conway, SC 29526-9150 |
| Thomas S Cerasaro | Urology | Atlantic Urology Clinics LLC | 1001 N Fraser St, Georgetown, SC 29440-2848 |
| Street Address |
3600 SEA MOUNTAIN HWY SUITE D |
| City | LITTLE RIVER |
| State | SC |
| Zip | 29566-8161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal D Shore | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Robert M Jansen | Urology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Chris Boggs | Family Medicine | Waterway Primary Care LLC | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 |
| Michelle Wirt | Physician Assistant | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Carl J Szczesniak | Pathology | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Leslie B Oleszkowicz | Nurse Practitioner | Atlantic Urology Clinics LLC | 3600 Sea Mountain Hwy, Suite D, Little River, SC 29566-8161 |
| Amanda Lewis Calhoun | Nurse Practitioner | Southern Surgical Group LLC | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 |
| Eston Ernest Williams | Family Practice | Waterway Primary Care LLC | 3600 Sea Mountain Hwy, Little River, SC 29566-8161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry J Kopelman | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| David Laif Haught | Physical Therapy | David L. Haught, Pa | 304 Hwy 90 E C1, Little River, SC 29566 |
| Carla N Antolak | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Genevieve Badaoui | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Denise Charnea Lovorn | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Jennifer Elayne Bruer-vandeweert | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 |
| Garrett Fitzgibbons | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| William J Earley | Family Practice | Elite Pain Management LLC | 4237 River Hills Dr, Little River, SC 29566-6444 |
| Matthew Davis | Physical Therapy | Greenville Proaxis Therapy LLC | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 |
| Heather Vincent | Physician Assistant | Waterway Primary Care LLC | 4237 River Hills Dr, Suite 150, Little River, SC 29566-6446 |
| Find all physicians in zip 29566 | |||
| City | LITTLE RIVER |
| Zip Code | 29566 |
| Specialty | UROLOGY |
| City + Specialty | LITTLE RIVER + UROLOGY |
Please comment or provide details below to improve the information on Kenneth E Krzyzaniak.
| 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.