MARY JO KENDRICK (NPI# 1114097623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114097623 |
| Entity Type | Individual |
| Full Name | MARY JO KENDRICK |
| Other Name | MARY JO KERNS |
| Credential | M.D. |
| Practice Address |
3555 Olentangy River Rd Suite 4000 Columbus OH 43214-3912 |
| Mailing Address |
5300 Far Hills Avenue Dayton OH 45429-2347 |
| Practice Telephone | 6142682748 |
| Practice Fax Number | 6142633376 |
| Mailing Telephone | 9374337536 |
| Mailing Fax Number | 9374339612 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
35.090906 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNITED HEALTH CARE | 3626852 | 01 |
| OH | AETNA | 4905679 | 01 |
| OH | AETNA | 9996167 | 01 |
| OH | ANTHEM BLUE CROSS/BLUE SHIELD | 000000605859 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508174806 | Mary Elizabeth Kendrick | Registered Nurse | 8941 Brooke Ave, Westminster, CA 92683-7758 | 2010-09-20 |
| 1598705626 | Mary Sue Kendrick | Family Medicine | 2801 Saratoga St, Shawnee, OK 74804-1739 | 2006-06-07 |
| Street Address |
3555 OLENTANGY RIVER RD SUITE 4000 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690642 | William J Somers | Urology | 3555 Olentangy River Rd, Suite 3080, Columbus, OH 43214-3912 | 2005-06-24 |
| 1467981977 | Emily Rice | Nurse Practitioner | 3555 Olentangy River Rd, Columbus, OH 43214-3912 | 2017-06-08 |
| 1811433923 | Kara Roche | Physician Assistant | 3555 Olentangy River Rd, Ste. 4000, Columbus, OH 43214-3912 | 2017-01-12 |
| 1720538697 | Eric W Saheli | Nurse Practitioner | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3912 | 2016-10-04 |
| 1215480934 | Jamie Ullmer | Nurse Practitioner | 3555 Olentangy River Rd, Suite 2001, Columbus, OH 43214-3912 | 2016-07-28 |
| 1205295722 | Karen Johnston | Physician Assistant | 3555 Olentangy River Rd, Suite 2001, Columbus, OH 43214-3912 | 2016-02-11 |
| 1558739862 | Ohiohealth Neurological Phisicians | Nurse Practitioner | 3555 Olentangy River Rd, 2002, Columbus, OH 43214-3912 | 2015-09-03 |
| 1124418157 | Tiffany L Dunbar | Nurse Practitioner | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3912 | 2015-01-29 |
| 1053726224 | Kristen M Stauffer | Nurse Practitioner | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3912 | 2014-06-26 |
| 1699180083 | Annamarie Folk | Nurse Practitioner | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3912 | 2014-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174652325 | Midwest Dermatology, Laser & Vein | Dermatology | 3006 N Co Road 25-a, Troy, OH 45373-1373 | 2007-03-05 |
| 1780613422 | Dena M Elkeeb | Dermatology | 4101 Edwards Rd Fl 2, Cincinnati, OH 45209-1678 | 2006-07-03 |
| 1811950751 | Neera Agarwal-antal | Dermatology | 1325 Corporate Dr, Suite A, Hudson, OH 44236-4432 | 2006-04-11 |
| 1659350247 | Jonathan Bass | Dermatology | 3737 Park East Drive, Suite #202, Beachwood, OH 44122 | 2006-01-11 |
| 1962484204 | John C. Moad | Dermatology | 7835 Paragon Road, Dayton, OH 45459 | 2005-11-14 |
| 1922093855 | Adam B Hessel | Dermatology | 5720 Blazer Parkway, Suite B, Dublin, OH 43017 | 2005-09-16 |
| 1639174386 | Janet S Wieselthier | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2005-06-18 |
| 1417210261 | Nicole Rachel Dominiak | Dermatology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2012-06-18 |
| 1003146721 | Premier Dermatology | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2009-12-31 |
| 1427234798 | University Hospitals Medical Group, Inc. | Dermatology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2008-01-16 |
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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.