Kenneth Whittaker (NPI# 1104836188, PAC ID# 8729018940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1104836188 |
| PAC ID by PECOS | 8729018940 |
| Professional Enrollment ID | I20121030000158 |
| Full Name | Kenneth Whittaker |
| Organization Legal Name | ADVANCE HANNIBAL REGIONAL HOSPITAL LLC |
| Address |
188 Medical Dr Suite A Hannibal MO 63401-6877 |
| Phone Number | 5734060576 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6709022122 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 | 5734060576 | ADVANCE HANNIBAL REGIONAL HOSPITAL LLC |
| Organization Legal Name | ADVANCE HANNIBAL REGIONAL HOSPITAL LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Bradley Fohey | Physical Therapy | Advance Hannibal Regional Hospital LLC | 710 S Business, 61 Suite 100, Bowling Green, MO 63334-5239 |
| Jailynn N Francisco | Physical Therapy | Advance Hannibal Regional Hospital LLC | 3652 Stardust Dr, Hannibal, MO 63401-6212 |
| Katie M Schroeder | Physical Therapy | Advance Hannibal Regional Hospital LLC | 821 Us Hwy 24/36 E, Monroe City, MO 63456-1470 |
| Jessica L Graf | Physical Therapy | Advance Hannibal Regional Hospital LLC | 55 Troy Sq, Troy, MO 63379-3108 |
| Brittany Albers | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Lindsay L Benson Thome | Physical Therapy | Advance Hannibal Regional Hospital LLC | 3652 Stardust Dr, Hannibal, MO 63401-6212 |
| Chad D Falconer | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Heather E Ludwig | Physical Therapy | Advance Hannibal Regional Hospital LLC | 710 S Business, 61 Suite 100, Bowling Green, MO 63334-5239 |
| Ashley M Gaines | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Brock L Mitchell | Physical Therapy | Advance Hannibal Regional Hospital LLC | 710 S Business, 61 Suite 100, Bowling Green, MO 63334-5239 |
| Street Address |
188 MEDICAL DR SUITE A |
| City | HANNIBAL |
| State | MO |
| Zip | 63401-6877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis D Burton | Orthopedic Surgery | Midwest Orthopedic Specialists Inc | 188 Medical Dr, Hannibal, MO 63401-6877 |
| Brittany Albers | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Christopher M Bieniek | Orthopedic Surgery | Midwest Orthopedic Specialists Inc | 188 Medical Dr, Hannibal, MO 63401-6877 |
| Richard L Baumann Jr. | Orthopedic Surgery | Midwest Orthopedic Specialists Inc | 188 Medical Dr, Hannibal, MO 63401-6877 |
| Chad D Falconer | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Ashley M Gaines | Physical Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Rahul Basho | Orthopedic Surgery | Midwest Orthopedic Specialists Inc | 188 Medical Dr, Hannibal, MO 63401-6877 |
| Suzanne Allen | Occupational Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Jessica Veith | Occupational Therapy | Advance Hannibal Regional Hospital LLC | 188 Medical Dr, Suite A, Hannibal, MO 63401-6877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald A Miller | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Harsha Desai | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Hemal Mahesh Patel | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Victor A Maalouf | Emergency Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Lance W Dorsey | Diagnostic Radiology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Charles Rey Watson | Anesthesiology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Ni Jin | Pathology | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Harjodh Puar | Internal Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Nadine L Davis | Certified Registered Nurse Anesthetist (crna) | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Sohail Gulzar | Internal Medicine | Hannibal Regional Healthcare System Inc | Po Box, Suite 1257, Hannibal, MO 63401-1257 |
| Find all physicians in zip 63401 | |||
| City | HANNIBAL |
| Zip Code | 63401 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | HANNIBAL + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kenneth Whittaker.
| 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.