PAMELA S. KENNEDY, MD, P.A. (NPI# 1093098097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093098097 |
| Entity Type | Organization |
| Organization Name | PAMELA S. KENNEDY, MD, P.A. |
| Practice Address |
1355 Thomaswood Drive Tallahassee FL 32308 |
| Practice Telephone | 8506564555 |
| Mailing Telephone | 8506564555 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-10-11 |
| Authorized Official Name | PAMELA KENNEDY (DERMATOLOGIST) |
| Authorized Official Telephone | 8506564555 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME 84319 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE ID | 15007 | 01 | |
| FL | 2807050-00 | 05 |
| Street Address |
1355 THOMASWOOD DRIVE |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467698159 | Marc John Inglese | Dermatology | 1704 Riggins Rd, Tallahassee, FL 32308-5318 | 2008-12-30 |
| 1003080292 | Seymour R. Rosen, M.d.p.a. | Dermatology | 4591 Berklie Dr, Tallahassee, FL 32308-5861 | 2008-04-17 |
| 1811083504 | George Franklin Cohen | Dermatology | 1632 Riggins Rd, Tallahassee, FL 32308-5316 | 2006-10-04 |
| 1427081496 | Ira Freilich | Dermatology | 1474 Market St, Tallahassee, FL 32312-1768 | 2006-07-10 |
| 1710918404 | Stephen K Richardson | Dermatology | 1714 Mahan Center Blvd, Tallahassee, FL 32308-5427 | 2006-07-05 |
| 1245296318 | Pamela Schofield Kennedy | Dermatology | 1355 Thomaswood Dr, Tallahassee, FL 32308-7915 | 2006-04-26 |
| 1356346894 | Oen-hiang Cynthia Tie | Dermatology | 1903 Welby Way, Tallahassee, FL 32308 | 2005-06-20 |
| 1508868860 | Michael John Ford | Dermatology | 2040 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2005-06-01 |
| 1033752969 | Family Dermatology of North Florida LLC | Dermatology | 1903 Welby Way, Tallahassee, FL 32308-4453 | 2019-10-23 |
| 1932577533 | Anna Magdalena Gapys | Dermatology | 1707 Riggins Rd, Tallahassee, FL 32308 | 2015-09-13 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on PAMELA S. KENNEDY, MD, P.A..
| 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.