KENNETH LEON DEAN JR. (NPI# 1053708164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053708164 |
| Entity Type | Individual |
| Full Name | KENNETH LEON DEAN JR. |
| Credential | D.O. |
| Practice Address |
20 Arrowood Dr Ithaca NY 14850 |
| Mailing Address |
20 Arrowood Dr Ithaca NY 14850-1869 |
| Practice Telephone | 6072667800 |
| Mailing Telephone | 6072667800 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 297664-1 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Arrowood Dr, Ithaca, NY 14850 | 6072667800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188435 | Kenneth Charles Dean | Occupational Therapist | 8924 Bayonne Dr, Shreveport, LA 71118-2033 | 2019-01-30 |
| 1033179759 | Kenneth K Dean | Nurse Anesthetist, Certified Registered | 103 W 18th St, Hopkinsville, KY 42240-1960 | 2006-03-25 |
| 1407390925 | Kenneth Dean | Counselor | 1001 S 27th St, Billings, MT 59101-4517 | 2016-12-19 |
| 1831443498 | Kenneth Dwane Dean | Pharmacist | 81 W Foothill Blvd, Upland, CA 91786-3846 | 2012-11-05 |
| 1508884883 | Kenneth Dean | Anesthesiology | 601 Elmwood Ave, Box 604, Rochester, NY 14642-0001 | 2006-07-17 |
| Street Address |
20 ARROWOOD DR |
| City | ITHACA |
| State | NY |
| Zip Code | 14850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240223 | Joan M Sullivan | Legal Medicine | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2005-07-21 |
| 1023623741 | Emily Mansur Fox | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1869 | 2020-09-10 |
| 1255815478 | Leslie Stork | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1869 | 2018-09-24 |
| 1548760903 | Laura Margaret Maccarald | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1869 | 2018-02-12 |
| 1184155905 | Erianna Flores | Midwife | 20 Arrowood Dr, Suite A, Ithaca, NY 14850-1869 | 2017-03-23 |
| 1730486945 | Lisa Marie Baclawski | Obstetrics & Gynecology | 20 Arrowood Dr, Ithaca, NY 14850-1869 | 2011-02-24 |
| 1265664213 | Mahrie Amelia Moore | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2009-08-10 |
| 1508934134 | Kathryn A Pierce | Midwife | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2006-12-01 |
| 1528134723 | Kathleen E Gardner | Obstetrics & Gynecology | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2006-11-28 |
| 1194895813 | E James Fogel Jr. | Obstetrics & Gynecology | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154332252 | Oo Hyon Kyong | Obstetrics & Gynecology | 1290 Trumansburg Rd, Ithaca, NY 14850-1314 | 2006-08-11 |
| 1528039864 | Jose A Torrado | Obstetrics & Gynecology | 1301 Trumansburg Road, Suite L, Ithaca, NY 14850 | 2006-01-26 |
| 1225028285 | Phaelon H. Silva | Obstetrics & Gynecology | 20 Arrowwood Dr., Ithaca, NY 14850 | 2005-10-21 |
| 1730486945 | Lisa Marie Baclawski | Obstetrics & Gynecology | 20 Arrowood Dr, Ithaca, NY 14850-1869 | 2011-02-24 |
| 1083805154 | Oo Hyon Kyong, Md | Obstetrics & Gynecology | 1290 Trumansburg Rd, Ithaca, NY 14850-1314 | 2007-08-05 |
| 1528134723 | Kathleen E Gardner | Obstetrics & Gynecology | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2006-11-28 |
| 1619047180 | Steven A Gelber | Obstetrics & Gynecology | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2006-11-09 |
| 1437229945 | Ob-gyn Associates of Ithaca, LLP | Obstetrics & Gynecology | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2006-11-09 |
| 1376613836 | Dvorah Milner | Obstetrics & Gynecology | 20 Arrowood Dr, Ithaca, NY 14850 | 2006-11-09 |
| 1184722050 | Every Woman's Care, Pllc | Obstetrics & Gynecology | 302 W Seneca St, Ithaca, NY 14850-4130 | 2006-09-21 |
| Find all providers in ITHACA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.