Zachary H McKenty, PHYSICIANASSISTANT
Zachary H McKenty, PHYSICIANASSISTANT is a Physician Assistant in Carbondale, Illinois. Graduated from Southern Illinois University School of Medicine in 2020, 6 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment.
- Years since qualifying
- 6
- Trained at
- Southern Illinois University School of Medicine
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
300 W Oak StCarbondale, IL 62901-1400
Phone: (618) 453-8850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Independent Duty Medical Technicians | Taxonomy 1710I1003X |
Record details
| NPI number | 1407190812 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | November 26, 2012 |
| Last updated in NPPES | June 10, 2020 |
| Certification date | June 10, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2020 (6 years in practice) |
| Group practice | Ssm Health Care Group — 923 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |