DR. KEVIN THOMAS DWYER (NPI# 1063774859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063774859 |
| Entity Type | Individual |
| Full Name | DR. KEVIN THOMAS DWYER |
| Credential | D.O. |
| Practice Address |
1 Medical Center Dr Stratford NJ 08084-1500 |
| Practice Telephone | 8563467985 |
| Practice Fax Number | 8563466573 |
| Mailing Telephone | 8563467985 |
| Mailing Fax Number | 8563466573 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2017-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MB09853400 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992274146 | Kevin Dwyer | Counselor | 2610 Greenbriar Ln, Annapolis, MD 21401-4424 | 2018-11-16 |
| 1851511521 | Kevin William Dwyer | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-04-26 |
| 1063472892 | Kevin W. Dwyer | Radiology | 1507 W Main St, Gatesville, TX 76528-1024 | 2006-03-24 |
| 1417923210 | Kevin Michael Dwyer | Surgery | 30 Shelburne Rd, Trauma Services, Stamford, CT 06902-3628 | 2006-02-23 |
| Street Address |
1 MEDICAL CENTER DR |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801411046 | Steven Li | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2020-06-13 |
| 1346863511 | Shawon Akanda | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2020-05-22 |
| 1326531278 | Peter Sherman Tatum | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2018-06-14 |
| 1346770427 | Derick Waldner | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2017-06-12 |
| 1013366376 | Jennifer Soung | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2016-06-08 |
| 1396193306 | Herman Grant Gerhardt | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084-1500 | 2016-05-31 |
| 1811343155 | Alyssa Susan Emo | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Stratford, NJ 08084 | 2016-05-05 |
| 1932562634 | Tiffany Holmes | Internal Medicine | 1 Medical Center Dr, Stratford, NJ 08084 | 2016-03-30 |
| 1962879130 | Rowan College of Osteopathic Medicine | General Acute Care Hospital | 1 Medical Center Dr, Suite 162, Stratford, NJ 08084-1500 | 2015-08-24 |
| 1922489269 | Michael Paul Wilson Jr. | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Suite 162, Stratford, NJ 08084-1500 | 2015-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| 1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
| 1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
| 1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
| 1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
| Find all providers in zip 08084 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066924 | Lissa Diaz | Emergency Medicine | 18 East Laural Road, Stratford, NJ 08084 | 2014-06-02 |
| 1750693545 | Ambreen Rahman | Emergency Medicine | 13 E Laurel Rd, Stratford, NJ 08084-1364 | 2010-07-08 |
| 1164628392 | Sergey Medlenov | Emergency Medicine | 18 Laurel Road, Stratford, NJ 08084-1801 | 2007-06-25 |
| 1992737175 | Henry R. Schuitema | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2006-07-07 |
| 1235173170 | Mansoor Sheikh | Emergency Medicine | 66d River Bend Rd, Stratford, CT 06614-8017 | 2006-06-15 |
| 1831155639 | Akbar Khan | Emergency Medicine | 215 E Laurel Rd Ste 101, Stratford, NJ 08084-1361 | 2006-04-21 |
| 1770012049 | Moeez A Khan | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2017-06-08 |
| 1396273876 | James Lee | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2017-05-30 |
| 1356878664 | Bryon Ahmad Sellman | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2017-05-17 |
| 1992155758 | Katelyn Courtney | Emergency Medicine | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2016-06-13 |
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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.