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Kenneth D Pearsen

  • Male

Medical Specialty

Professional ID

  • NPI: 1154387918
  • PECOS ID: 7113816331
  • Enrollment ID: I20070216000439
  • Credential(MD, DO, DPM): MD
  • Medical School: Columbia School Of Medicine
  • Medical School Graduation Year: 1985

Hospital Service

  • Hospital CCN1: 330005
  • Business Name (LBN)1: Kaleida Health
  • Hospital CCN2: 330103
  • Business Name (LBN)2: Olean General Hospital
  • Hospital CCN3: 330132
  • Business Name (LBN)3: Tlc Health Network
  • Hospital CCN4: 330229
  • Business Name (LBN)4: Brooks Memorial Hospital
  • Hospital CCN5: 330102
  • Business Name (LBN)5: Kenmore Mercy Hospital

Medical Practices

  • Organization Name: Great Lakes Medical Imaging Llc
  • Group Practice ID assigned by PECOS: 2163681859
  • Number of Group Practice member: 35

Location

  • Address1: 3085 Harlem Rd
  • Address2: Suite 150
  • City: Cheektowaga
  • State: New York
  • Zip Code: 14225
  • Phone Number: (716)844-5300

Location

  • Address1: 3850 Saunders Settlement Rd
  • Address2:
  • City: Sanborn
  • State: New York
  • Zip Code: 14132
  • Phone Number: (716)898-2840

Location

  • Address1: 4693 Commercial Dr
  • Address2:
  • City: New Hartford
  • State: New York
  • Zip Code: 13413
  • Phone Number: (315)507-5114

Medical Practices

  • Organization Name: Western Ny Radiology Associates Llc
  • Group Practice ID assigned by PECOS: 3072402296
  • Number of Group Practice member: 26

Location

  • Address1: 100 High St
  • Address2:
  • City: Buffalo
  • State: New York
  • Zip Code: 14203
  • Phone Number: (716)859-2954

Medical Practices

  • Organization Name: Western New York Medical Practice Pc
  • Group Practice ID assigned by PECOS: 3870767791
  • Number of Group Practice member: 220

Location

  • Address1: 875 Pre Emption Rd
  • Address2:
  • City: Geneva
  • State: New York
  • Zip Code: 14456
  • Phone Number: (315)789-5061

Medicare

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