KENNETH FRETWELL (NPI# 1144281429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144281429 |
| Entity Type | Individual |
| Full Name | KENNETH FRETWELL |
| Credential | MD |
| Practice Address |
8900 Van Wyck Expressway Surgical Suite 1st Floor Jamaica NY 11418 |
| Mailing Address |
8906 135th Street 7l Jamaica NY 11418 |
| Practice Telephone | 7182067110 |
| Practice Fax Number | 7182067111 |
| Mailing Telephone | 7182067820 |
| Mailing Fax Number | 7182066786 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2013-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 190443 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01618666 | 05 |
| Street Address |
8900 VAN WYCK EXPRESSWAY SURGICAL SUITE 1ST FLOOR |
| City | JAMAICA |
| State | NY |
| Zip Code | 11418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831159870 | Robert Greenbaum | Radiology | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2006-03-24 |
| 1871112946 | Kristina Marianna Kelvy | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Department of Family Medicine, Jamaica, NY 11418 | 2020-04-09 |
| 1174017271 | Tejas Patel | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2018-06-21 |
| 1417475864 | Sherise Warner Rollock | Nurse Practitioner | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2017-09-06 |
| 1598209215 | George Eapen | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica Hospital Medical Center, Jamaica, NY 11418 | 2016-12-14 |
| 1225483092 | Usman Khalid Naqvi | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica Hospital Medical Center, Jamaica, NY 11418 | 2016-04-29 |
| 1417311358 | Kinjal Solanki | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2016-04-06 |
| 1962893941 | Nay Lin Oo | Internal Medicine | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2015-02-11 |
| 1942690193 | Malhar Agarwal | Internal Medicine | 8900 Van Wyck Expressway, Jamaica, NY 11418 | 2015-01-27 |
| 1932514023 | Teona Cozianu Cotan | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expressway, Jamaica Hospital Medical Center, Jamaica, NY 11418 | 2014-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727494 | Beatrice Oluyemisi Owoeye | Social Worker | Jamaica Medical Center, 8900 Van Wyck Express, Jamaica, NY 11418 | 2020-03-30 |
| 1023648763 | Annette Karabolli | Specialist | 134-11 Richmond Hills, Queens, NY 11418 | 2020-01-22 |
| 1447801899 | Elina Babayeva | Occupational Therapist | 85-60 109th Street, Richmond Hill, NY 11418 | 2019-09-26 |
| 1962979351 | David Gelin | Nurse Practitioner | 134-20 87th Ave, 7f, Richmond Hill, NY 11418 | 2018-10-24 |
| 1598257339 | Levi Yechiel Grosser | Student in an Organized Health Care Education/Training Program | 134-20 Jamaica Ave, 3rd Floor Axel Building, Jamaica, NY 11418 | 2018-06-06 |
| 1124519590 | George Jonathan Deannuntis | Pharmacist | 101-21 Jamaica Ave, Richmond Hill, NY 11418 | 2018-05-22 |
| 1720583545 | Priya Katwala | Student in an Organized Health Care Education/Training Program | 8900 Van Wyvk Expy, Richmond Hill, NY 11418 | 2018-03-25 |
| 1851817670 | Lawrence Keke Luo | Chiropractor | 105-09 Jamaica Avenue, Richmond Hill, NY 11418 | 2017-08-15 |
| 1346779162 | Priya Pathadan | Nurse Practitioner | 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 | 2017-06-06 |
| 1134654049 | Wqg Physical Therapy PC | Physical Therapist | 87-60 125th St, Richmond Hill, NY 11418 | 2017-04-28 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740185 | Michael Jeremie Donaire | Surgery | 8629 Midland Pkwy, Jamaica, NY 11432-3041 | 2013-06-20 |
| 1255686085 | Ayodele O Atolagbe | Surgery | 14554 107th Ave, Jamaica, NY 11435-5240 | 2012-07-18 |
| 1417918343 | Jeffrey Chan | Surgery | 8906 135th St, Suite 2t, Jamaica, NY 11418-2821 | 2006-03-30 |
| 1588905103 | Katherine Mckenzie | Surgery | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2013-03-06 |
| 1497948087 | Grace A Montenegro | Surgery | 8268 164th St, Dept. of Surgery, Jamaica, NY 11432-1121 | 2007-08-27 |
| 1447471826 | Neil Montgomery Richards | Surgery | 15211 89th Ave, Jamaica, NY 11432-3730 | 2007-05-01 |
| 1790819084 | Amit Rohan Toor Joshi | Surgery | 8900 Van Wyck Expy, Jamaica Hospital--department of Surgery, Jamaica, NY 11418-2897 | 2007-03-16 |
| 1154469724 | Rebecca Lee | Surgery | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2007-02-03 |
| 1376689109 | Samir Dutta | Surgery | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2007-01-29 |
| 1073680500 | Stacey Joy Simmons | Surgery | 8268 164th St, Jamaica, NY 11432-1121 | 2006-11-29 |
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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.