MRS. MARY ELLEN KENWORTHY (NPI# 1205123361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205123361 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELLEN KENWORTHY |
| Other Name | MISS MARY ELLEN JONES |
| Credential | D.O. |
| Practice Address |
50 North Perry Street Pontiac MI 48342 |
| Practice Telephone | 2762238350 |
| Mailing Telephone | 2483385393 |
| Mailing Fax Number | 2483385567 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0102204478 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267266 | Mary Laree Kenworthy | Licensed Practical Nurse | 500 W Fort St Bldg 88, Boise, ID 83702-4598 | 2020-08-31 |
| 1548506645 | Mary Katherine Kenworthy | Counselor | 4500 S Lancaster Rd, Gold Team 116a, Dallas, TX 75216-7167 | 2012-12-17 |
| Street Address |
50 NORTH PERRY STREET |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| 1508027475 | Community Programs Inc | Skilled Nursing Facility | 540 Boyd St, Pontiac, MI 48342 | 2008-06-23 |
| Find all providers in zip 48342 | ||||
| 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 |
|---|---|---|---|---|
| 1417092602 | Kirk R Whyte | Emergency Medicine | 130 Seminole St, Pontiac, MI 48341-1673 | 2007-02-21 |
| 1255449393 | John Rinker | Emergency Medicine | 1515 W Reynolds St, Pontiac, IL 61764-9673 | 2006-08-28 |
| 1508889908 | Kenneth Velez | Emergency Medicine | 1306 N Ann St, Pontiac, IL 61764-1235 | 2006-07-26 |
| 1952378309 | Rajendra Shrivastav | Emergency Medicine | 1512 W Reynolds St, Ste. B, Pontiac, IL 61764-9781 | 2006-03-03 |
| 1003890856 | Matthew Swayze | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-05 |
| 1366936031 | Viktorija Petrovic | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-18 |
| 1215421904 | Robert Schulz | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-18 |
| 1174017958 | Andrew Mirocke | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-15 |
| 1265926018 | Duncan Mcguire | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-15 |
| 1124512058 | Zachary Jakubik | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-06-14 |
| Find all providers in PONTIAC | ||||
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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.