JANICE MARIE KENNESON (NPI# 1518932334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518932334 |
| Entity Type | Individual |
| Full Name | JANICE MARIE KENNESON |
| Credential | D.O. |
| Practice Address |
21159 Paint Blvd Suite 2 Shippenville PA 16254-4023 |
| Mailing Address |
121 Doctors Ln Clarion PA 16214-8515 |
| Practice Telephone | 8142266770 |
| Practice Fax Number | 8142261015 |
| Mailing Telephone | 8142263470 |
| Mailing Fax Number | 8142263479 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS008701L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 777963 | 01 |
| PA | UNISON | 95223 | 01 |
| PA | RAILROAD MEDICARE | P00063069 | 01 |
| PA | GATEWAY | P001040 | 01 |
| PA | 0015179590006 | 05 |
| Street Address |
21159 PAINT BLVD SUITE 2 |
| City | SHIPPENVILLE |
| State | PA |
| Zip Code | 16254-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396180089 | Health Services of Clarion Inc | Non-Pharmacy Dispensing Site | 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 | 2013-05-08 |
| 1689983520 | Ashley Nicole Kunselman | Family Medicine | 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 | 2010-09-27 |
| 1649593500 | Nicole Carroll | Family Medicine | 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 | 2010-03-08 |
| 1033178793 | Health Services of Clarion, Inc. | Family Medicine | 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 | 2006-03-21 |
| 1790751154 | Brenton Vaughn Long | General Practice | 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 | 2006-02-27 |
| 1255302071 | Clarion Development Corporation | Pharmacy | 21159 Paint Blvd, Suite #1, Shippenville, PA 16254 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659393155 | Brenda Arlene Manno | Social Worker | 20231 Paint Boulevard, Shippenville, PA 16254 | 2006-07-24 |
| 1275778417 | Shippenville Project Point of Light, Inc Dba Manno Therapeutic Service | Counselor | 20231 Paint Boulevard, Shippenville, PA 16254 | 2008-12-02 |
| 1821160268 | Vna Extended Care Services, Inc | Home Health | 405 Main Street, Shippenville, PA 16254 | 2006-11-14 |
| 1376536011 | Vna Extended Care Services, Inc | Home Health | 405 Main Street, Shippenville, PA 16254-0100 | 2005-08-29 |
| 1497741466 | Shippenville Elk Township Volunt | Ambulance | 207 Main St, Shippenville, PA 16254-3905 | 2005-09-23 |
| 1891339156 | Advanced Dysphagia Diagnostics LLC | Speech-Language Pathologist | 206 Main St, Shippenville, PA 16254-3906 | 2019-10-30 |
| 1467403782 | Ggnsc Shippenville Lp | Skilled Nursing Facility | 21158 Paint Blvd, Shippenville, PA 16254-4024 | 2006-05-12 |
| 1134672900 | Guardian Elder Care At Shippenville LLC | Skilled Nursing Facility | 21158 Paint Blvd, Shippenville, PA 16254-4024 | 2016-07-28 |
| 1396147765 | Jennifer Pappas | Physical Therapist | 21158 Paint Blvd, Shippenville, PA 16254-4024 | 2014-09-17 |
| 1679915201 | Melissa Sue Pore | Speech-Language Pathologist | 21158 Paint Blvd, Shippenville, PA 16254-4024 | 2013-07-24 |
| Find all providers in zip 16254 | ||||
| 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 |
|---|---|---|---|---|
| 1689983520 | Ashley Nicole Kunselman | Family Medicine | 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 | 2010-09-27 |
| 1649593500 | Nicole Carroll | Family Medicine | 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 | 2010-03-08 |
| 1033178793 | Health Services of Clarion, Inc. | Family Medicine | 21159 Paint Blvd, Suite 2, Shippenville, PA 16254-4023 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | SHIPPENVILLE |
| Zip Code | 16254 |
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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.