TIMOTHY C KENNEDY MD LLC (NPI# 1417208257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417208257 |
| Entity Type | Organization |
| Organization Name | TIMOTHY C KENNEDY MD LLC |
| Practice Address |
2045 Ash St Denver CO 80207-3717 |
| Practice Telephone | 7202446340 |
| Practice Fax Number | 3033217033 |
| Mailing Telephone | 7202446340 |
| Mailing Fax Number | 3033217033 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | DR. TIMOTHY C KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 7202446340 |
| Authorized Official Credential | MD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
18011 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO MEDICAL LICENSE | 18011 | 01 |
| Street Address |
2045 ASH ST |
| City | DENVER |
| State | CO |
| Zip Code | 80207-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899350 | Angelica Seto Dds Pllc | Clinic/Center | 2842 Fairfax St, Denver, CO 80207 | 2020-07-29 |
| 1770125593 | Lisa Hagerman | Registered Nurse | 3674 Dexter St, Denver, CO 80207 | 2019-10-14 |
| 1265905954 | Madeline Goldberg | Physical Therapist | 3401 Quebec St., Suite 3100, Denver, CO 80207 | 2019-01-06 |
| 1457828055 | Element Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3875 Newport St Unit C, Denver, CO 80207 | 2018-11-01 |
| 1326408295 | Abraham Haile | Behavioral Analyst | 3355 Locust St, Denver, CO 80207 | 2016-03-04 |
| 1487091443 | Derek Stephen Owens | Dentist | 3255 Locust St., Denver, CO 80207 | 2013-05-31 |
| 1275875338 | Brienne Stotts | Counselor | 3355 Hudson Street #7473, Denver, CO 80207 | 2013-03-26 |
| 1790052538 | Stephanie Marie Ratner | Social Worker | 3401 North Eudora Street, Denver, CO 80207 | 2011-11-22 |
| 1679876908 | Carol Larocque | Counselor | 3401 Eudora St., Denver, CO 80207 | 2010-12-08 |
| 1295037026 | Lena Dunning | Social Worker | 3404 N Eudora Street, Denver, CO 80207 | 2010-11-30 |
| Find all providers in zip 80207 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659662484 | Kent Lee Christopher | Internal Medicine | 9086 E Colorado Cir, Denver, CO 80231-2924 | 2011-04-27 |
| 1720178403 | Michael J Gerber | Internal Medicine | 4200 E Ninth Ave, Denver, CO 80262-0001 | 2006-10-13 |
| 1649369638 | Healthone Clinic Services LLC | Internal Medicine | 1609 E 19th Ave, Suite 3550, Denver, CO 80218-1285 | 2006-10-11 |
| 1205942745 | John Edward Buckley | Internal Medicine | 51 West 84th Ave, Suite 210, Denver, CO 80260-4882 | 2006-08-21 |
| 1760485023 | Robert J Lapidus | Internal Medicine | 1400 Jackson St, Denver, CO 80206-2761 | 2005-05-31 |
| 1558970020 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 400, Denver, CO 80206 | 2020-07-30 |
| 1659784890 | Catawba Valley Medical Group, Inc | Internal Medicine | 6127 Highway 16 S, Denver, NC 28037-9220 | 2014-06-05 |
| 1609019751 | Ann M Granchelli | Internal Medicine | 1400 Jackson St, Denver, CO 80206-2761 | 2009-04-18 |
| 1568639839 | Silpa Dhoma Krefft | Internal Medicine | 1400 Jackson St, Denver, CO 80206-2761 | 2008-05-14 |
| 1417134883 | Kendra Marie Hammond | Internal Medicine | 1400 Jackson St, Denver, CO 80206-2761 | 2008-01-28 |
| Find all providers in DENVER | ||||
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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.