BETSY L KENDIS


Address: 4575 Stephens Cir Nw, Canton, OH 44718-3629
Phone: 3304999944

BETSY L KENDIS (NPI# 1326049081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326049081
Entity Type Individual
Full Name BETSY L KENDIS
Credential M.D.
Practice Address 4575 Stephens Cir Nw
Canton
OH 44718-3629
Practice Telephone 3304999944
Practice Fax Number 3304993056
Mailing Telephone 3304999944
Mailing Fax Number 3304993056
Enumeration Date 2005-08-03
Last Update Date 2015-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
35070944 OH Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 35070944 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2017749 05

Office Location

Street Address 4575 STEPHENS CIR NW
City CANTON
State OH
Zip Code 44718-3629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336543628 Inglish Kaput Nurse Practitioner 4575 Stephens Cir Nw, Canton, OH 44718-3629 2014-10-15
1134407125 Beth R Mossgrove Nurse Practitioner 4575 Stephens Cir Nw, Canton, OH 44718-3629 2011-07-26
1467603167 Tana K. Saline Physician Assistant 4575 Stephens Cir Nw, Canton, OH 44718-3629 2008-10-01
1528073368 Primary Care Physician Associates, Inc. Pediatrics 4575 Stephens Cir Nw, Canton, OH 44718-3629 2006-07-30
1043241672 Daniel E Lee Physician Assistant 4575 Stephens Cir Nw, Canton, OH 44718-3629 2006-07-05
1811964380 Amy C Lakritz Pediatrics 4575 Stephens Cir Nw, Canton, OH 44718-3629 2006-03-03
1396746053 Brigitta A Moresea Pediatrics 4575 Stephens Cir Nw, Canton, OH 44718-3629 2005-08-03
1801897558 Karin T Riggs Internal Medicine 4575 Stephens Cir Nw, Canton, OH 44718-3629 2005-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639658057 Christine Lynn Mccrone Psychologist 4450 Belden Village St Nw Ste 701, Canton, OH 44718 2018-08-07
1295252500 Dora C Holliday Student in an Organized Health Care Education/Training Program 4641 Fulton Dr N.w., Canton, OH 44718 2017-08-28
1770035487 A B A Let's Play, Inc. Community/Behavioral Health 6304 Shipslanding Ave Nw, Canton, OH 44718 2016-10-28
1457710139 Aria Lg Counseling and Wellness Center, LLC Clinic/Center 5262 Fulton Road Nw, Canton, OH 44718 2016-02-23
1457722365 Melinda R Bond Nurse Practitioner 4105 Holiday Street Nw, Canton, OH 44718 2015-10-19
1164804860 Ashley Marie Whetsell Dentist 4550 Belden Village Street Nw, Canton, OH 44718 2015-06-18
1346643749 Emil D. Poporad, Dds Dentist 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 2014-09-30
1699198390 Lauri Sanders Social Worker 5860 Fulton Dr Nw, Canton, OH 44718 2014-01-31
1376893768 Courteney R Briceland Social Worker 4641 Fulton Rd. Nw, Canton, OH 44718 2012-09-13
1982953220 Lyudmyla Z Rockaway Marriage & Family Therapist 4895 Dressler Road Nw, Ste A, Canton, OH 44718 2012-08-31
Find all providers in zip 44718

Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629253323 Virgie U Que Internal Medicine 1790 N Lakewood Ave, Port Clinton, OH 43452-2971 2008-01-01
1134328537 William Hanna Internal Medicine 4326 Baintree Rd, Cleveland, OH 44118-3931 2007-07-16
1801919816 Agarwal & Agarwal Mds Inc Internal Medicine 7405 Brandt Pk, Huber Heights, OH 45424-3239 2007-04-06
1740217009 Anthony J Finizia Internal Medicine 5208 Memphis Ave, Metrohealth Brooklyn Medical Group, Cleveland, OH 44144-2231 2006-06-26
1063476497 Cynthia H Ledford Internal Medicine 1609 Northwest Blvd, Columbus, OH 43212-2544 2006-04-13
1770570764 Nirmala Nandigam Internal Medicine 4901 Turney Rd, Garfield Hts, OH 44125-2546 2005-10-04
1134127954 Rajendra A Patel Internal Medicine 382 N Detroit St, Xenia, OH 45385-2233 2005-07-14
1619974037 John C Westerbeck Internal Medicine 2037 Wales Rd Nw, Suite 130, Massillon, OH 44646 2005-06-30
1033300215 Praveena Cheruvu Internal Medicine 1111 Sweitzer St, Suite C, Greenville, OH 45331 2007-08-05
1700948155 Polaris Parkway Internal Medicine & Pediatrics, Ltd Internal Medicine 110 Polaris Pkwy, Suite 250, Westerville, OH 43082-8024 2006-12-14
Find all providers with the same taxonomy

Competitor

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City CANTON
Zip Code 44718

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Dataset Information

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.

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