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Kevin P Cantwell

  • Male

Medical Specialty

Professional ID

  • NPI: 1598779688
  • PECOS ID: 8123073111
  • Enrollment ID: I20050311000915
  • Credential(MD, DO, DPM): PA
  • Medical School:
  • Medical School Graduation Year: 2004

Hospital Service

  • Hospital CCN1: 030131
  • Business Name (LBN)1: O.a.s.i.s. Hospital
  • Hospital CCN2: 030014
  • Business Name (LBN)2: John C. Lincoln Medical Center

Medical Practices

  • Organization Name: Tri-city Express Care Pllc
  • Group Practice ID assigned by PECOS: 2264436377
  • Number of Group Practice member: 157

Location

  • Address1: 3730 W Happy Valley Rd
  • Address2: 100 Fastmed Urgent Care
  • City: Glendale
  • State: Arizona
  • Zip Code: 85310
  • Phone Number: (623)277-4140

Medical Practices

  • Organization Name: Orthopedic Surgery Assistants, Llc
  • Group Practice ID assigned by PECOS: 5092091462
  • Number of Group Practice member: 0

Location

  • Address1: 250 E Dunlap Ave
  • Address2:
  • City: Phoenix
  • State: Arizona
  • Zip Code: 85020
  • Phone Number: (602)943-2381

Location

  • Address1: 750 N 40th St
  • Address2:
  • City: Phoenix
  • State: Arizona
  • Zip Code: 85008
  • Phone Number: (602)797-7789

Location

  • Address1: 9003 E Shea Blvd
  • Address2:
  • City: Scottsdale
  • State: Arizona
  • Zip Code: 85260
  • Phone Number: (480)323-3000

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):