Mekenzie S Kmack (NPI# 1275821316, PAC ID# 9537339379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1275821316 |
| PAC ID by PECOS | 9537339379 |
| Professional Enrollment ID | I20120918000091 |
| Full Name | Mekenzie S Kmack |
| Organization Legal Name | SAMARITAN PACIFIC HEALTH SERVICES INC |
| Address |
930 Sw Abbey St Newport OR 97365-4820 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 2466353529 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381314 | SAMARITAN PACIFIC COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 930 Sw Abbey St, Newport, OR 97365-4820 | SAMARITAN PACIFIC HEALTH SERVICES INC |
| Organization Legal Name | SAMARITAN PACIFIC HEALTH SERVICES INC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan K Shumate | Obstetrics/gynecology | Samaritan Pacific Health Services Inc | 775 Sw 9th St H, Newport, OR 97365-4876 |
| Marc Edwin Taylor | Psychologist, Clinical | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Kathryn Y Menefee | Nurse Practitioner | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Deborah A Volk | Hospitalist | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Erin Elizabeth Guiliano Lichy | Family Medicine | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| David A Larsen | General Surgery | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Gerald R Butler | Orthopedic Surgery | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Brian W Fields | Internal Medicine | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| William Fraser | Family Medicine | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Kristina M Uehlin | Physician Assistant | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Street Address |
930 SW ABBEY ST |
| City | NEWPORT |
| State | OR |
| Zip | 97365-4820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Edwin Taylor | Psychologist, Clinical | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Kathryn Y Menefee | Nurse Practitioner | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Deborah A Volk | Hospitalist | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Erin Elizabeth Guiliano Lichy | Family Medicine | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| David A Larsen | General Surgery | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Gerald R Butler | Orthopedic Surgery | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Brian W Fields | Internal Medicine | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| William Fraser | Family Medicine | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Kristina M Uehlin | Physician Assistant | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Michael Paul Cruise | Physician Assistant | Samaritan Pacific Health Services Inc | 930 Sw Abbey St, Newport, OR 97365-4820 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Arnold | Clinical Social Worker | 1678 N Coast Hwy, Newport, OR 97365 | |
| Penelope Ouderkirk Kaczmarek | Clinical Social Worker | 1684 N Coast Hwy, Newport, OR 97365 | |
| Ruth Claire Barton | Physical Therapy | 5220 Ne Shell World Pl, Suite A, Newport, OR 97365-1279 | |
| Carolyn Elizabeth Spears | Clinical Social Worker | 132 Ne 15th St, Newport, OR 97365-2210 | |
| Lyla E Hill | Clinical Social Worker | 132 Ne 15th St, Suite D, Newport, OR 97365-2210 | |
| Leanne Mceachern | Qualified Audiologist | 1622 N Coast Hwy, Newport, OR 97365-2257 | |
| Savoy Rose Jade | Clinical Social Worker | 1642 N Coast Hwy, Newport, OR 97365-2357 | |
| Michele Anne Monroe | Clinical Social Worker | 1600 N Coast Hwy, Suite 1620, Newport, OR 97365-2357 | |
| Deborah M Lyman | Clinical Social Worker | 1684 N Coast Hwy, Seatowne Courtyard, Newport, OR 97365-2357 | |
| Linda J Orange | Clinical Social Worker | 1420 Nw Spring St, Newport, OR 97365-2430 | |
| Find all physicians in zip 97365 | |||
| City | NEWPORT |
| Zip Code | 97365 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | NEWPORT + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Mekenzie S Kmack.
| 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.