Samuel B Kieley (NPI# 1003058546, PAC ID# 5890937940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1003058546 |
| PAC ID by PECOS | 5890937940 |
| Professional Enrollment ID | I20141002000636 |
| Full Name | Samuel B Kieley |
| Organization Legal Name | UROLOGY ASSOCIATES OF THE CENTRAL COAST |
| Address |
1111 E Ocean Ave Suite 3 Lompoc CA 93436-2500 |
| Phone Number | 8057338150 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2008 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4486750049 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050110 | LOMPOC VALLEY MEDICAL CENTER |
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1111 E Ocean Ave, Suite 3, Lompoc, CA 93436-2500 | 8057338150 | UROLOGY ASSOCIATES OF THE CENTRAL COAST |
| 116 S Palisade Dr, Suite 110, Santa Maria, CA 93454-8905 | 8053497133 | UROLOGY ASSOCIATES OF THE CENTRAL COAST |
| Organization Legal Name | UROLOGY ASSOCIATES OF THE CENTRAL COAST |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig W Canfield | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Michael Anthony Avallone | Urology | Urology Associates of The Central Coast | 1111 E Ocean Ave, Suite 3, Lompoc, CA 93436-2500 |
| Joseph R Kuntze | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Paul W Klosterman | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Cort Darcy Thompson | Physician Assistant | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Carol A Karamitsos | Obstetrics/gynecology | Urology Associates of The Central Coast | 116 S Palisade Dr, Suite 110, Santa Maria, CA 93454-8905 |
| Christopher Warren Johnson | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Jennifer K Eckerman | Physician Assistant | Urology Associates of The Central Coast | 921 Oak Park Blvd, Suite 202, Pismo Beach, CA 93449-3400 |
| Hugh B Perkin | Urology | Urology Associates of The Central Coast | 35 Casa St, Suite 370, San Luis Obispo, CA 93405-5835 |
| Tess Taylor Wianecki | Physician Assistant | Urology Associates of The Central Coast | 921 Oak Park Blvd, Suite 202, Pismo Beach, CA 93449-3400 |
| Street Address |
1111 E OCEAN AVE SUITE 3 |
| City | LOMPOC |
| State | CA |
| Zip | 93436-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Anthony Avallone | Urology | Urology Associates of The Central Coast | 1111 E Ocean Ave, Suite 3, Lompoc, CA 93436-2500 |
| Thomas A Vanmeter | Dermatology | 1111 E Ocean Ave, Suite 10, Lompoc, CA 93436-2501 | |
| Philip Ente | Neurology | 1111 E Ocean Ave, Suite 4a, Lompoc, CA 93436-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard I Weinstock | Otolaryngology | 3839 Constellation Rd, Suite A, Lompoc, CA 93436-0432 | |
| Charles E Smith | Psychologist, Clinical | 3839 Constellation Rd, Suite C, Lompoc, CA 93436-0434 | |
| Jeffrey L Danhauer | Qualified Audiologist | 3839 Constellation Rd, Suite D, Lompoc, CA 93436-0435 | |
| Heliodoro M Magana | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Igor Galan | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Jason Cord Williford | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Laura L Megorden | Podiatry | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Latavia S Esters | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Michael A Hoosier | Physician Assistant | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Janice L Anderson | Clinical Social Worker | Lags Spine and Sportscare Medical Centers Inc | 218 N I St, Lompoc, CA 93436-0909 |
| Find all physicians in zip 93436 | |||
| City | LOMPOC |
| Zip Code | 93436 |
| Specialty | UROLOGY |
| City + Specialty | LOMPOC + UROLOGY |
Please comment or provide details below to improve the information on Samuel B Kieley.
| 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.