KENNETH JAY IVERSON (NPI# 1124065313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124065313 |
| Entity Type | Individual |
| Full Name | KENNETH JAY IVERSON |
| Credential | MD |
| Practice Address |
43 Smith Rd Naval Health Care New England Newport Newport RI 02841-1002 |
| Mailing Address |
Rte 12 Bldg 449 Attn Professional Affairs Naval Health Care New England Groton Groton CT 06349-5600 |
| Practice Telephone | 8606942377 |
| Practice Fax Number | 8606943590 |
| Mailing Telephone | 8606942377 |
| Mailing Fax Number | 8606942590 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME0061931 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124225479 | Kenneth Charles Iverson | Otolaryngology | 800 Rose St # C236, Lexington, KY 40536-0293 | 2007-06-29 |
| Street Address |
43 SMITH RD NAVAL HEALTH CARE NEW ENGLAND NEWPORT |
| City | NEWPORT |
| State | RI |
| Zip Code | 02841-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140797 | Thomas E Mcgue | Family Medicine | 43 Smith Rd, Newport, RI 02841-1006 | 2005-08-09 |
| 1962958157 | David Davis | Nurse Practitioner | 43 Smith Rd, Newport, RI 02841 | 2016-08-29 |
| 1073964771 | Jessica Louise Batchelder | Physician Assistant | 43 Smith Rd, Newport, RI 02841-1006 | 2016-06-24 |
| 1578944583 | Trent Ainsworth | Family Medicine | 43 Smith Rd, Newport, RI 02841-1006 | 2015-06-16 |
| 1770972176 | Christopher Lane Pope Sr. | General Practice | 43 Smith Rd, Newport, RI 02841 | 2015-01-22 |
| 1952711020 | Jason Valadao | Family Medicine | 43 Smith Rd, Newport, RI 02841-1006 | 2014-04-29 |
| 1407282494 | Albert Cuaresma | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2013-09-23 |
| 1609202894 | Catherine Webb | Psychologist | 43 Smith Rd, Newport, RI 02841-1006 | 2013-09-19 |
| 1871928853 | Edwin Gilberto Dominguez | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2013-09-09 |
| 1902244478 | James Safford | Dentist | 43 Smith Rd, Newport, RI 02841-1006 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1073708152 | Audra Lynn Seldon | Optometrist | 43 Smith Ave, Newport, RI 02841 | 2007-09-11 |
| 1083713242 | Naval Health Clinic New England | Pharmacy | Bldg 291 King Hall, Naval Ambulatory Care Ctr, King Hall, RI 02841 | 2006-09-22 |
| 1881791630 | Naval Health Clinic New England | Pharmacy | Nhcne, Pharmacy 43 Smith Rd Bld 43, Newport, RI 02841 | 2006-09-20 |
| 1568435022 | Sepehr Rajaei | Dentist | 1173 Whipple Rd, Branch Dental Clinic Newport, Newport, RI 02841 | 2006-02-07 |
| 1245203793 | Luis Francisco Rosario | Dentist | 1173 Whipple Road, Branch Dental Clinic Newport, Newport, RI 02841 | 2006-02-07 |
| 1700862893 | Mark V Sutherland | Family Medicine | 43 Smith Road, Nhcne, Newport, RI 02841 | 2005-12-20 |
| 1912317082 | Leilani Dimond | Family Medicine | Naval Health Clinic New England, 43 Smith Rd, Newport, RI 02841 | 2014-04-29 |
| 1851368609 | Barton H Knox | Dentist | 1173 Whipple Road, Branch Dental Clinic Newport, Newport, RI 02841 | 2006-03-01 |
| 1770557654 | Billy Wilson Hanes Jr. | Dentist | 1173 Whipple Road, Newport, RI 02841 | 2006-02-15 |
| Find all providers in zip 02841 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144859802 | Virginia Revill | Family Medicine | 1586 Depaul Rd, Newport, TN 37821-6280 | 2020-04-05 |
| 1285164145 | Lesli Ashten Anderson | Family Medicine | 1200 Mclain St Ste B, Newport, AR 72112-3550 | 2017-06-14 |
| 1346552148 | Virgincita Fuentes Rodriguez | Family Medicine | 2000 Mclain St Ste B, Newport, AR 72112-3661 | 2010-07-08 |
| 1336379569 | Anna Hehl-bisson | Family Medicine | 3132 Newport Rd, North Park Plaza, Newport, MI 48166-6100 | 2009-07-22 |
| 1891935151 | Oakwood Ambulatory, LLC | Family Medicine | 3132 Newport, Suite 107, Newport, MI 48166 | 2009-02-26 |
| 1518081520 | Rachel Beth Disanto | Family Medicine | 81 Medical Village Dr Ste 1, Family Practice of Newport, Newport, VT 05855-9897 | 2007-03-16 |
| 1891834719 | Safe Harbour Family Care | Family Medicine | 129 Chatham St, Newport, NC 28570 | 2007-02-06 |
| 1366515249 | Thomas Ae Moseley | Family Medicine | 121 Medical Village Drive, Newport, VT 05855 | 2006-11-16 |
| 1871688499 | Denise Aileen Niemira | Family Medicine | 5452 U.S. Rt. 5, Ste. D, Newport, VT 05855 | 2006-10-03 |
| 1790885838 | Allegra L Shumway | Family Medicine | 79 Coventry St, Newport, VT 05855-2206 | 2006-09-25 |
| Find all providers in NEWPORT | ||||
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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.