Kenneth C Romney MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

M-11134 Issued in ID

Legal business name

KENNETH C ROMNEY MD INC

Practice address

526 Shoup Ave W Ste E
Twin Falls, ID 83301-5050

Phone

(208) 736-3362

Fax

(208) 736-3382

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Charles Romney, M.D.NPI 1831272772

Title

Owner

Phone

(208) 736-3362

Specialties & licenses 1

Addresses

Other names 1

• The Family Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth C. Romney, M.D.

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1831272772
  Medicare reassignment NPD Authorized official
• Maurissa Donangelo, PA-C, PHD

  • Physician Assistant
  • Twin Falls, ID
  • NPI 1508355538
  Medicare reassignment NPD
• Lindsay A. Hubsmith, P.A.-C.

  • Physician Assistant
  • Twin Falls, ID
  • NPI 1750474300
  Medicare reassignment NPD
• Carisa Dawn Elliott, FNP-C

  • Family Nurse Practitioner
  • Twin Falls, ID
  • NPI 1518515949
  NPD (past)
• Maria R Smith, FNP-C

  • Nurse Practitioner
  • Twin Falls, ID
  • NPI 1871914168
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1982015822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 SHOUP AVE W STE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015050",
            "telephone_number": "208-736-3362",
            "fax_number": "208-736-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SHOUP AVE W STE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015050",
            "telephone_number": "208-736-3362",
            "fax_number": "208-736-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C ROMNEY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "ROMNEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-736-3362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "ID",
            "license": "M-11134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ezekiel Hans Kelsey, SLP
• Nathan Ross Kelsey, M.D.
• Nicholas James Kelsey, OD
• David L Kemp, M.D.
• Jackie L Kennedy, BACHELORS, LPN
• Gaige Kepner, DDS
• Melody Kerner, LMSW
• Shannon R Kerrick, MSW, LCSW
• Cathi Baily Ketterling, PHARM. D
• Lindsey Ketterling, DPT, CSCS

• Medical Specialty Clinic/Center in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Medical Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.