DR. KENNETH JOHN (NPI# 1396302147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396302147 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JOHN |
| Credential | MD |
| Practice Address |
593 Eddy St Providence RI 02903-4923 |
| Practice Telephone | 4016064286 |
| Practice Fax Number | 4014445090 |
| Mailing Telephone | 4016064286 |
| Mailing Fax Number | 4014445090 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | LP04885 | RI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 University Dr, Hershey, PA 170332360 | 7175310000 |
| Street Address |
593 EDDY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306185 | Mitchel A Sklar | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2005-06-15 |
| 1376140707 | Kristen Marie Czekanski | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-08 |
| 1326645300 | Elizabeth Stefanilo | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2020-10-03 |
| 1841807633 | Julie Walden | Student in an Organized Health Care Education/Training Program | 593 Eddy St, Providence, RI 02903-4923 | 2020-09-26 |
| 1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
| 1588273064 | Cassandra Pagnotta | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-30 |
| 1982213294 | Sabitha Sasidharan Pillai | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2020-07-23 |
| 1861019481 | Courtney Pedersen | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-30 |
| 1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
| 1639796642 | Benjamin Hagan | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356738637 | Shakir Mclean | Anesthesiology | 23 Creighton St, Apt. 1, Providence, RI 02906-1518 | 2015-04-23 |
| 1336375898 | Emily Beth Goodwin | Anesthesiology | 1 Virginia Ave, Suite 201, Providence, RI 02905-4427 | 2009-06-10 |
| 1376780247 | Tariq M Naseem | Anesthesiology | 593 Eddy St # 129, Providence, RI 02903-4923 | 2009-01-14 |
| 1407807902 | Milton Bizzelle Boles | Anesthesiology | 830 Chalkstone Ave., Va Medical Center, Providence, RI 02908-4734 | 2006-05-12 |
| 1104883123 | Douglas Blake | Anesthesiology | 591 Eddy St, Dept of Anesthesia, Providence, RI 02903-4922 | 2006-04-26 |
| 1790342376 | Abigail Finger | Anesthesiology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-20 |
| 1508420571 | Patrick Van Kirk | Anesthesiology | 593 Eddy St, Providence, RI 02903-4923 | 2019-04-25 |
| 1467915355 | Gaelle Antoine | Anesthesiology | 593 Eddy St, Providence, RI 02903-4923 | 2019-04-09 |
| 1851853972 | Clarence Chow | Anesthesiology | 593 Eddy Street, Davol 129, Providence, RI 02903 | 2019-04-06 |
| 1457813925 | Andrew Dana Winegarner | Anesthesiology | 593 Eddy St, Providence, RI 02903-4923 | 2019-04-03 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
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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.