ROBERT JEROME KENDELL (NPI# 1366417578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366417578 |
| Entity Type | Individual |
| Full Name | ROBERT JEROME KENDELL |
| Credential | D.O. |
| Practice Address |
8872 Professional Dr Cadillac MI 49601-8481 |
| Mailing Address |
8872 Professional Dr Cadillac MI 49601-8482 |
| Practice Telephone | 2317796260 |
| Practice Fax Number | 2317796264 |
| Mailing Telephone | 2317796260 |
| Mailing Fax Number | 2317796264 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
5101012647 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4224164 | 05 |
| Street Address |
8872 PROFESSIONAL DR |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-8481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874288 | Dynamic Physical Therapy Inc | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2005-07-08 |
| 1619418282 | David Arthur Diver | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2017-03-16 |
| 1326428236 | Jordan Thomas Moriarty | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2015-06-05 |
| 1750761664 | Lisa Marie Thompson | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2015-06-05 |
| 1609274455 | Audiological Services of Cadillac | Otolaryngology | 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 | 2014-12-10 |
| 1003254384 | Deborah Kay Farst | Physical Therapist | 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 | 2013-06-10 |
| 1548562978 | Robert Kendell D.o.,p.c. | Otolaryngology | 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 | 2010-11-17 |
| 1831333715 | Lisa Jacobson D.o., P.C. | Otolaryngology | 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 | 2009-04-23 |
| 1508082462 | Terri Hamp | Physical Therapist | 8872 Professional Dr, Cadillac, MI 49601-8481 | 2007-04-18 |
| 1659597508 | Walter J Witkowski | Physical Therapist | 8872 Professional Dr, Cadillac, MI 49601-8481 | 2007-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
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| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548562978 | Robert Kendell D.o.,p.c. | Otolaryngology | 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 | 2010-11-17 |
| 1922073766 | Lisa Waite Jacobson | Otolaryngology | 8872 Professional Dr, Cadillac, MI 49601-8481 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215429568 | Hills Ent Institute Pllc | Otolaryngology | 43700 Woodward Ave Ste 201, Bloomfield Hills, MI 48302-5061 | 2018-06-02 |
| 1639402258 | Shant Ara Korkigian | Otolaryngology | 25500 Meadowbrook Rd Ste 220, Novi, MI 48375 | 2009-09-14 |
| 1992914725 | Theodore Alan Golden | Otolaryngology | 755 W Big Beaver, Suite 2111, Troy, MI 48084 | 2007-05-21 |
| 1407992480 | David M Kent | Otolaryngology | 100 Kirts Blvd, Troy, MI 48084-5251 | 2007-01-29 |
| 1356394803 | Northwoods Ear, Nose & Throat PC | Otolaryngology | 2611 Charlevoix Ave, Petoskey, MI 49770-8524 | 2006-05-18 |
| 1174588370 | Richard A Wandzel | Otolaryngology | 222 W Highland Rd, Highland, MI 48357-4504 | 2006-04-19 |
| 1427037282 | Steven Joe Kin | Otolaryngology | 2300 Haggerty Rd Ste 2130, West Bloomfield, MI 48323-2191 | 2006-01-11 |
| 1780112144 | Matthew Wesley Globerson | Otolaryngology | 25500 Meadowbrook Rd, Novi, MI 48375-1878 | 2017-05-30 |
| 1770024630 | Niki Patel | Otolaryngology | 1000 Harrington St, Mount Clemens, MI 48043 | 2017-03-12 |
| 1063951689 | Colin Byrd | Otolaryngology | 50 N Perry St, Pontiac, MI 48342-2217 | 2017-02-15 |
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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.