Kenneth Lee Volk, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01246 Issued in TX

Practice address

390 W Texas Ave
Waskom, TX 75692-9113

Phone

(903) 687-2500

Fax

(903) 687-3510

NPI assigned

Aug 16, 2005

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Absolute Concierge Health Care, LLCGroup PAC ID 8224278403, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Absolute Concierge Health Care, LLC

  • Family Medicine Physician
  • Waskom, TX
  • NPI 1427491828
  Medicare reassignment Care Compare group Authorized official
• Gwenvolk Infocus Inc

  dba Affordable Health Clinic

  • Medical Physician Assistant
  • Waskom, TX
  • NPI 1992928428
  NPD (past) Authorized official
• Gwenvolkinfocus Inc

  dba Affordable Health Care Clinic

  • Family Medicine Physician
  • Waskom, TX
  • NPI 1154514818
  Authorized official Same address or phone
• Mad Dog Enterprises LP

  dba Affordable Health Care Clinic

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Waskom, TX
  • NPI 1114144102
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1861484818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W TEXAS AVE",
            "city": "WASKOM",
            "state": "TX",
            "postal_code": "756929113",
            "telephone_number": "903-687-2500",
            "fax_number": "903-687-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W TEXAS AVE",
            "city": "WASKOM",
            "state": "TX",
            "postal_code": "756929113",
            "telephone_number": "903-687-2500",
            "fax_number": "903-687-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLK",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01246",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA01246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Robert Platt
• Randal Ratzlaff, LCDC
• Rosa Rivas, PHARM.D.
• Elizabeth Scarborough
• Buddy Roger Siebenlist, M.D.
• Waskom Independent School District
• Waskom Volunteer Fire Department and EMS Services Inc
• Corrie Adele Yeargain, MS LPC-A

• Medical Physician Assistant in Waskom, TX
• Providers in Waskom, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.