Dr Kenneth B Waite, DO | |
1507 Elderberry Rd, Suffolk, VA 23435-3368 | |
(740) 243-6316 | |
Not Available |
Full Name | Dr Kenneth B Waite |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1507 Elderberry Rd, Suffolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194037754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 39020000X (Virginia) | Primary |
Entity Name | Mission Viejo Emergency Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073542916 PECOS PAC ID: 2163335241 Enrollment ID: O20031106000308 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | St Jude Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720190804 PECOS PAC ID: 8224923479 Enrollment ID: O20040217001064 |
Entity Name | Mission Viejo Emergency Medical Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046 |
Entity Name | Victory Emergency Physicians Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932402716 PECOS PAC ID: 9133301732 Enrollment ID: O20110302000980 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth B Waite, DO 2428 Alder Pl, Suffolk, VA 23435-3377 Ph: (740) 243-6316 | Dr Kenneth B Waite, DO 1507 Elderberry Rd, Suffolk, VA 23435-3368 Ph: (740) 243-6316 |
Dr. Michael S Gonzalez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4868 Bridge Rd, Suffolk, VA 23435 Phone: 757-483-7198 | |
Brian Downing, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2118 Piedmont Rd, Suffolk, VA 23435 Phone: 757-483-6813 | |
Dorothy R Critzer, NP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5818 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-673-5800 | |
Carl Frank Wentzel Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5818 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-673-5800 |