Kenneth Smith (NPI# 1467437541, PAC ID# 9234227190) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is AUDIOLOGIST.
| Nation Provider ID (NPI) | 1467437541 |
| PAC ID by PECOS | 9234227190 |
| Professional Enrollment ID | I20111017000197 |
| Full Name | Kenneth Smith |
| Organization Legal Name | AUDIOLOGY DISTRIBUTION LLC |
| Address |
20126 Stanton Ave Suite 205 Castro Valley CA 94546-5270 |
| Phone Number | 5105374211 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | AUDIOLOGIST |
| Group Practice PAC ID | 0840459103 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 20126 Stanton Ave, Suite 205, Castro Valley, CA 94546-5270 | 5105374211 | AUDIOLOGY DISTRIBUTION LLC |
| Organization Legal Name | AUDIOLOGY DISTRIBUTION LLC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Elizabeth Montgomery | Qualified Audiologist | Audiology Distribution LLC | 301 Ne Franklin Ave, Bend, OR 97701-4917 |
| Katelyn Joy Silveous | Qualified Audiologist | Audiology Distribution LLC | 697 Hopewell Dr, Health, OH 43056-1579 |
| Kasey J Williams | Qualified Audiologist | Audiology Distribution LLC | 7512 Dr Phillips Blvd, Suite 90, Orlando, FL 32819-5157 |
| Kelly Sharpe Arias | Audiologist | Audiology Distribution LLC | 10701 Sw38th St, Miami, FL 33165-3618 |
| Kyle Brown | Qualified Audiologist | Audiology Distribution LLC | 777 Kimole Lane, Suite 120, Adrian, MI 49221-1478 |
| Brooke Michaels | Audiologist | Audiology Distribution LLC | 12193 Pembroke Rd, Suite 313, Pembroke Pines, FL 33025-1727 |
| Christopher Oldfield | Audiologist | Audiology Distribution LLC | 30220 Us Hwy 19 N, Suite 222, Clearwater, FL 33761-1042 |
| Christine M Vecchio | Audiologist | Audiology Distribution LLC | 807 E Bloomingdale Ave, Brandon, FL 33511-8113 |
| Rick R Deines | Qualified Audiologist | Audiology Distribution LLC | 785 W Webster St, Colby, KS 67701-2948 |
| Matthew D Cross | Qualified Audiologist | Audiology Distribution LLC | 799 Hebron Ave, Glastonbury, CT 06033-2451 |
| Street Address |
20126 STANTON AVE SUITE 205 |
| City | CASTRO VALLEY |
| State | CA |
| Zip | 94546-5270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa S Burroughs Pena | Cardiovascular Disease (cardiology) | University Healthcare Alliance | 20126 Stanton Ave, Suite 100, Castro Valley, CA 94546-5270 |
| Louise Hom | General Surgery | University Healthcare Alliance | 20126 Stanton Ave, Suite 201, Castro Valley, CA 94546-5270 |
| Janice Friesen | Clinical Social Worker | University Healthcare Alliance | 20126 Stanton Ave, Suite 201, Castro Valley, CA 94546-5270 |
| Rani Y Upadhyay | Cardiovascular Disease (cardiology) | University Healthcare Alliance | 20126 Stanton Ave, Suite 100, Castro Valley, CA 94546-5270 |
| Donald R Knotts | Internal Medicine | University Healthcare Alliance | 20126 Stanton Ave, Suite 201, Castro Valley, CA 94546-5270 |
| Beth L Ehrlich | Audiologist | Audiology Distribution LLC | 20126 Stanton Ave, Suite 205, Castro Valley, CA 94546-5270 |
| Tanya Kailath | Nurse Practitioner | University Healthcare Alliance | 20126 Stanton Ave, Suite 201, Castro Valley, CA 94546-5270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten Toverud Severson | Psychologist, Clinical | 18037 Joseph Dr, Castro Valley, CA 94546-1303 | |
| Martha Singer | Orthopedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | |
| Ravi S Panjabi | Anesthesiology | Ravi Panjabi, Inc | 19850 Lake Chabot Rd, Castro Valley, CA 94546-4002 |
| Robert E Martin | Orthopedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | |
| Evan Scott Collier | Family Medicine | Ravi Panjabi, Inc | 19850 Lake Chabot Rd, Castro Valley, CA 94546-4002 |
| Gregg Pottorff | Orthopedic Surgery | Bay Area Surgical Specialists Inc A Medical Corporation | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 |
| Robert Scott Forster | Orthopedic Surgery | 19842 Lake Chabot Rd, Castro Valley, CA 94546-4002 | |
| Alexander M Reyzelman | Podiatry | Bay Area Foot Care, Inc | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 |
| Carolyn Elizabeth Mcaloon | Podiatry | Bay Area Foot Care, Inc | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 |
| Judianne M Walker | Podiatry | Bay Area Foot Care, Inc | 19845 Lake Chabot Rd, Suite 301, Castro Valley, CA 94546-4055 |
| Find all physicians in zip 94546 | |||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
| Specialty | AUDIOLOGIST |
| City + Specialty | CASTRO VALLEY + AUDIOLOGIST |
Please comment or provide details below to improve the information on Kenneth Smith.
| 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.