Kenneth Delton Hartzog (NPI# 1710063953, PAC ID# 9133244304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1710063953 |
| PAC ID by PECOS | 9133244304 |
| Professional Enrollment ID | I20100910000639 |
| Full Name | Kenneth Delton Hartzog |
| Address |
249 S 6th St Gadsden AL 35901-4102 |
| Phone Number | 2565464647 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 249 S 6th St, Gadsden, AL 35901-4102 | 2565464647 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 88% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
249 S 6TH ST |
| City | GADSDEN |
| State | AL |
| Zip | 35901-4102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Just | Neurology | John A Just Md, 502 Soth 4th Street, Gadsden, AL 35901 | |
| James A Mccain | Internal Medicine | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
| Janice L Parker | Nurse Practitioner | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
| Lawrence R Ware | Family Medicine | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
| Smithson O Ahiabuike | Internal Medicine | Quality of Life Health Services Inc | 420 N 6th St, Gadsden, AL 35901-3244 |
| Richard A West | Nurse Practitioner | Quality of Life Health Services Inc | 420 N 6th St, Gadsden, AL 35901-3244 |
| Janie T Teschner | General Practice | 1016 Forrest Ave, Gadsden, AL 35901-3540 | |
| Jordan C Holder | Nurse Practitioner | 1024 1st Ave, Gadsden, AL 35901-3544 | |
| Frederick W Kelly | Family Medicine | 1024 1st Ave, Gadsden, AL 35901-3544 | |
| Donna Lee | Optometry | 221 Broad St, Gadsden, AL 35901-3713 | |
| Find all physicians in zip 35901 | |||
| City | GADSDEN |
| Zip Code | 35901 |
| Specialty | OPTOMETRY |
| City + Specialty | GADSDEN + OPTOMETRY |
Please comment or provide details below to improve the information on Kenneth Delton Hartzog.
| 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.