Kale Bodily (NPI# 1174531933, PAC ID# 6103820261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1174531933 |
| PAC ID by PECOS | 6103820261 |
| Professional Enrollment ID | I20100819001255 |
| Full Name | Kale Bodily |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Address |
1608 N Stockton Hill Rd Suite 104 Kingman AZ 86401-4142 |
| Phone Number | 9287180180 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6901791367 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| 290003 | SUNRISE HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401-4142 | 9287180180 | KINGMAN HOSPITAL INC |
| 1720 Mesquite Ave, Suite 202, Lake Havasu City, AZ 86403-5644 | 9284538346 | KINGMAN HOSPITAL INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Harris Kaplan | Gastroenterology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 101, Kingman, AZ 86409-3593 |
| Kathleen B Walton | Nurse Practitioner | Kingman Hospital Inc | 4995 E Hwy 68, Suite 1, Golden Valley, AZ 86413-5500 |
| Michael Deboer | Family Medicine | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Ben Tacheron | Pain Management | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Christopher A Porter Iv | Interventional Radiology | Kingman Hospital Inc | 1033 Sycamore Ave, Kingman, AZ 86409-3580 |
| Eric E Capriles | General Surgery | Kingman Hospital Inc | 3104 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Sungnam Joe | Internal Medicine | Kingman Hospital Inc | 2226 Hualapai Mountain Rd, Suite 101, Kingman, AZ 86401-8374 |
| Daniel M Riesenberg | Urology | Kingman Hospital Inc | 1712 Sycamore Ave, Kingman, AZ 86409-0927 |
| Deborah Raye Bennett | Family Medicine | Kingman Hospital Inc | 3116 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Donald L Morgan | Family Medicine | Kingman Hospital Inc | 2202 N Stockton Hill Rd, Suite 101, Kingman, AZ 86401-4622 |
| Street Address |
1608 N STOCKTON HILL RD SUITE 104 |
| City | KINGMAN |
| State | AZ |
| Zip | 86401-4142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ben Tacheron | Pain Management | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Sanana Saasa Phillips | Nurse Practitioner | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Abhinav Ohri | Neurology | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Eric Trung Huynh | Family Medicine | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Victoria M Herrera | Physician Assistant | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Peter Alexander Snitovsky | Orthopedic Surgery | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Angela Marie Kogut | Physician Assistant | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Thien M Ngo | Physical Medicine and Rehabilitation | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Francesco J Sinopoli | Chiropractic | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Sarah L Knievel | Interventional Pain Management | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Find all physicians in zip 86401 | |||
| City | KINGMAN |
| Zip Code | 86401 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | KINGMAN + DIAGNOSTIC RADIOLOGY |
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| 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.