JESSICA KENNARD (NPI# 1225477607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225477607 |
| Entity Type | Individual |
| Full Name | JESSICA KENNARD |
| Credential | D.O. |
| Practice Address |
2191 9th Ave N Ste 120 St Petersburg FL 33713-7147 |
| Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
| Practice Telephone | 7278260795 |
| Practice Fax Number | 7272584863 |
| Mailing Telephone | 8132860033 |
| Mailing Fax Number | 8132821806 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | OS14414 | FL | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
OS14414 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2501 N Orange Ave Ste 786, Orlando, FL 328044651 | (407) 303-2422 |
| Street Address |
2191 9TH AVE N STE 120 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-7147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780697870 | Megan Dawn Indermaur | Obstetrics & Gynecology | 2191 9th Ave N Ste 120, St Petersburg, FL 33713-7147 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720318041 | Byron J. Masterson | Obstetrics & Gynecology | 500 22nd St S, St Petersburg, FL 33712-1702 | 2010-01-08 |
| 1467509505 | James Peter Lapolla | Obstetrics & Gynecology | 600 Eighth Street South, Suite B, St Petersburg, FL 33701 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1851738793 | Christopher De Haydu | Obstetrics & Gynecology | 1121 Nw 14th St Dept Gyn, Miami, FL 33136-2106 | 2013-06-02 |
| 1811330897 | Maria Paula Ruiz | Obstetrics & Gynecology | 6400 W Newberry Rd Ste 103, Gainesville, FL 32605-4384 | 2013-04-09 |
| 1992005086 | Jocelyn Garcia-sayre | Obstetrics & Gynecology | 5000 University Dr Ste 3300, Coral Gables, FL 33146-2008 | 2010-10-24 |
| 1063641827 | Kenneth Daniel Webster | Obstetrics & Gynecology | 3825 Sw 86th St., Gainesville, FL 32608-7901 | 2009-07-14 |
| 1942444526 | Mostafa A Selim | Obstetrics & Gynecology | 338 Wellington Dr., Palm Coast, FL 32164 | 2009-04-27 |
| 1063670255 | Women's Choice Oncology, Pllc | Obstetrics & Gynecology | 3425 University Parkway Unit 102, Sarasota, FL 34243 | 2008-05-25 |
| 1912197641 | Gyn Oncology Associates Pl | Obstetrics & Gynecology | 2617 Mitcham Dr Ste 101, Tallahassee, FL 32308-5479 | 2007-07-30 |
| 1336368547 | Stacey Ann South | Obstetrics & Gynecology | 3425 University Pkwy Unit 102, Sarasota, FL 34243-4271 | 2007-04-25 |
| 1982766044 | Philip Townsend Md Pa | Obstetrics & Gynecology | 675 Harvard St, Brooksville, FL 34601-2823 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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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.