DR. MICHAEL B. KENNEDY (NPI# 1427099068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427099068 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL B. KENNEDY |
| Credential | M.D. |
| Practice Address |
1901 W Clinch Ave Knoxville TN 37916-2307 |
| Mailing Address |
Po Box 634706 Cincinnati OH 45263-0001 |
| Practice Telephone | 8655411111 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD16396 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 3152900 | 01 |
| TN | 3029179 | 05 | |
| TN | BLUE CROSS | 4154443 | 01 |
| TN | RAILROAD MEDICARE | P00254475 | 01 |
| TN | 3829732 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992047427 | Michael W Kennedy | General Practice | 6686 Eagle Crossing Blvd, Brownsburg, IN 46112-7420 | 2013-03-22 |
| 1861732760 | Michael Kennedy | Social Worker | 865 Memorial Pkwy, Phillipsburg, NJ 08865-2730 | 2013-03-01 |
| 1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
| 1558507749 | Michael Patrick Kennedy | Registered Nurse | 11310 Huron St Ste 100, Northglenn, CO 80234-3090 | 2008-12-18 |
| 1861678435 | Michael George Kennedy | Social Worker | 1290 W 8th Pl, Suite A, Yuma, AZ 85364-3621 | 2008-01-14 |
| 1992985550 | Michael Arthur Kennedy | Preventive Medicine | 62 N. Chapel St, #100, Physicians Group, LLC, Newark, DE 19711-2238 | 2007-11-11 |
| 1639358088 | Michael John Kennedy | Chiropractor | 12105 41st Ave N, Apt 118, Plymouth, MN 55441-1200 | 2007-11-01 |
| 1588879043 | Michael Thomas Kennedy | Surgery | 28144 El Montanero, Laguna Niguel, CA 92677-7545 | 2007-05-10 |
| 1245361815 | Michael C Kennedy | Chiropractor | 3580 Rte 281, Cortland, NY 13045 | 2007-03-08 |
| 1245391473 | Michael Arthur Kennedy | Physician Assistant | 111 E Hwy 120, Ste. 104, Pottsboro, TX 75076-3008 | 2006-12-12 |
| Street Address |
1901 W CLINCH AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806722 | Select Specialty Hospital - Knoxville Inc | Long Term Care Hospital | 1901 W Clinch Ave, 4th Fl N, Knoxville, TN 37916-2307 | 2005-07-22 |
| 1447767793 | Evan Joseph Wojtala | Nurse Anesthetist, Certified Registered | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2018-01-09 |
| 1760992093 | Nicholeah Jade Lewallen | Pharmacist | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2017-09-30 |
| 1053762732 | Joshua Aaron Barnes | Nurse Practitioner | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2016-06-24 |
| 1972965275 | Michelle Samples | Physician Assistant | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2016-03-25 |
| 1447654389 | Allie Torrence | Pharmacist | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2014-10-21 |
| 1942625645 | Kathryn Pionke | Physician Assistant | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2014-03-04 |
| 1386908176 | Shawn Thomas Robertson | Emergency Medicine | 1901 W Clinch Ave, Fort Sanders Regional Medical Center, Knoxville, TN 37916-2307 | 2012-06-27 |
| 1235442278 | Kevin L Sprouse | Emergency Medicine | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2010-07-20 |
| 1326219064 | Lisa B. Yopp | Nurse Practitioner | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2008-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| 1013310762 | Knoxville Integrative Medical Center Pllc | Emergency Medicine | 9313 S Northshore Dr, Knoxville, TN 37922-6548 | 2014-10-08 |
| 1821404435 | Roy Ferraiuolo | Emergency Medicine | 1924 Alcoa Hwy # U-67, Knoxville, TN 37920-1511 | 2014-07-02 |
| 1093085771 | Joseph Tucker Montgomery | Emergency Medicine | 528 Dixon Rd, Knoxville, TN 37934-1307 | 2012-01-11 |
| 1346560604 | Chase Winkler Ranson | Emergency Medicine | 1122 Kenesaw Ave, Knoxville, TN 37919-7731 | 2010-06-09 |
| 1285954842 | Priya Gyani | Emergency Medicine | 112 S Gay St, Apt 307, Knoxville, TN 37902-1128 | 2010-06-07 |
| 1912224528 | Ann Reed Barnett | Emergency Medicine | 1415 Fremont Place, Knoxville, TN 37917 | 2010-04-23 |
| 1770712994 | Edwin Palmore Schaumburg | Emergency Medicine | 1924 Alcoa Hwy # U11, Knoxville, TN 37920-1511 | 2009-07-09 |
| 1558553321 | Neil Chaudhary | Emergency Medicine | 750 Gettysvue Dr, Knoxville, TN 37922-7622 | 2007-08-15 |
| 1760601090 | Michelle B. Hall | Emergency Medicine | 7019 Rotherwood Dr, Knoxville, TN 37919-7411 | 2007-04-25 |
| Find all providers in KNOXVILLE | ||||
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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.