DENISE R KENNEDY (NPI# 1326066713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326066713 |
| Entity Type | Individual |
| Full Name | DENISE R KENNEDY |
| Credential | MD |
| Practice Address |
4790 Cottonville Rd Jamestown OH 45335-1518 |
| Practice Telephone | 9376752870 |
| Practice Fax Number | 9376752873 |
| Mailing Telephone | 9376752870 |
| Mailing Fax Number | 9376752873 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME122127 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 35.084408 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2622773 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972983435 | Denise Kennedy | Case Manager/Care Coordinator | 2625 Sw 49th St, Oklahoma City, OK 73119-5228 | 2015-05-31 |
| 1104867191 | Denise Smith Kennedy | Family Medicine | 3614 D J Dewey Gray Circle, Augusta, GA 30909 | 2006-06-09 |
| 1386087237 | Denise Kennedy | Social Worker | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2013-04-10 |
| 1154681492 | Denise Lynn Kennedy | Social Worker | 1300 Niagara St, Buffalo, NY 14213-1503 | 2012-05-21 |
| 1982974432 | Denise Kennedy | Behavioral Analyst | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2011-12-30 |
| 1407896962 | Denise A Kennedy | Pathology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-06-06 |
| Street Address |
4790 COTTONVILLE RD |
| City | JAMESTOWN |
| State | OH |
| Zip Code | 45335-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281574 | Greene Memorial Hospital, Inc. | Clinic/Center | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2019-12-06 |
| 1518524065 | Angela Renee' Paugh | Nurse Practitioner | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2019-05-21 |
| 1346728730 | Krysta Mychal Cooper | Family Medicine | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2018-07-30 |
| 1720408768 | Marcia Williams | Nurse Practitioner | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2014-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999516 | Ct Ohio Jamestown LLC | Skilled Nursing Facility | 4960 Old Us 35, Jamestown, OH 45335 | 2018-04-19 |
| 1073027264 | Rhoda Joy Chamberlain | Nurse Practitioner | 4940 Cottonville Rd Ste 100, Jamestown, OH 45335 | 2017-11-27 |
| 1790117141 | Angelia M Mickle | Nurse Practitioner | 4940 Cottonville Rd, Ste 100, Jamestown, OH 45335 | 2013-08-07 |
| 1699080184 | Joyce Elaine-blackmer Hull | Registered Nurse | 3879 Shawnee Trl, Jamestown, OH 45335-1156 | 2010-08-10 |
| 1801267836 | Karen Reichley | Speech-Language Pathologist | 3995 Navajo Trl, Jamestown, OH 45335-1325 | 2015-10-16 |
| 1336626225 | Danielle Brooks | Dietitian, Registered | 4389 Choctaw Trl, Jamestown, OH 45335-1401 | 2018-07-24 |
| 1285779306 | Supertown Drugs | Pharmacy | 6 N Limestone St, Jamestown, OH 45335-1504 | 2007-02-20 |
| 1114342185 | Angelique Renee Swank | Licensed Practical Nurse | 4646 Cottonville Rd, Jamestown, OH 45335-1516 | 2014-02-26 |
| 1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1891781696 | Grenetta L Ritenour | Nurse Practitioner | 4940 Cottonville Rd Ste 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| Find all providers in zip 45335 | ||||
| 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 |
|---|---|---|---|---|
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1821404260 | Rachel Wanzek | Family Medicine | 300 2nd Ave Ne Ste 212, Jamestown, ND 58401-3377 | 2014-07-07 |
| 1477751360 | Jessica E. Hartman | Family Medicine | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9810 | 2007-07-03 |
| 1285733766 | C S Sewell M.d. P.C. | Family Medicine | 341 West Central Ave, Jamestown, TN 38556 | 2006-09-21 |
| 1215961347 | Wolf-dieter Krahn | Family Medicine | 15 S Main St Ste 150, Jamestown, NY 14701-6627 | 2006-07-11 |
| 1992751887 | David Charles Tattan | Family Medicine | 3165 24th Ave, Jamestown, MI 49427-0230 | 2006-05-25 |
| 1336190693 | Dakota Clinic, Ltd. | Family Medicine | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-05-12 |
| 1952359945 | Dilip N Joshi | Family Medicine | 117 North Duncan Street, Jamestown, TN 38556 | 2006-05-04 |
| 1588620728 | Patricia A Kline | Family Medicine | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2006-04-25 |
| 1891758454 | Nicholaus Bernard Wilhite | Family Medicine | 1000 N Lebanon St, Jamestown, IN 46147-0000 | 2006-04-06 |
| Find all providers in JAMESTOWN | ||||
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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.