KENNETH I WERNER (NPI# 1558362640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558362640 |
| Entity Type | Individual |
| Full Name | KENNETH I WERNER |
| Credential | MD |
| Practice Address |
120 Hobart St Utica NY 13501-4308 |
| Practice Telephone | 3157981149 |
| Practice Fax Number | 3157343565 |
| Mailing Telephone | 3157981149 |
| Mailing Fax Number | 3157343565 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2015-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 152260 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00886324 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922390368 | Kenneth Paul Werner | Psychologist | 50505 Schoenherr Rd, Suite 270, Shelby Township, MI 48315-3140 | 2011-05-04 |
| Street Address |
120 HOBART ST |
| City | UTICA |
| State | NY |
| Zip Code | 13501-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235675 | Sun Yoo | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-05-05 |
| 1134740962 | Benjamin Flinn | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-05-04 |
| 1881215614 | Angelina Nitto | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-05-04 |
| 1942821848 | Priscilla Merli | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-05-01 |
| 1043831936 | Phyu Thwe | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-05-01 |
| 1457972358 | Kwadwo Ansong | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-05-01 |
| 1972124865 | Ronald Siregar | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-05-01 |
| 1386265288 | Victor Macias | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-05-01 |
| 1356962500 | Pyae Htwe | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-04-29 |
| 1174144299 | Mary Bapana | Student in an Organized Health Care Education/Training Program | 120 Hobart St, Utica, NY 13501-4308 | 2020-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700349248 | Maria Kuehl | Student in an Organized Health Care Education/Training Program | 120 Hobart Street, Residency Program, Utica, NY 13501 | 2019-04-11 |
| 1497237622 | Bobs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 430 Bleecker St, Utica, NY 13501 | 2018-09-04 |
| 1528565421 | Michele Della Gala | Social Worker | 1427 Genesee Street, Utica, NY 13501 | 2018-04-09 |
| 1295274884 | Sheila Denita Boyd | Licensed Practical Nurse | 505 Mary Street, Utica, NY 13501 | 2017-02-16 |
| 1770034993 | Curry Mcmahon | Massage Therapist | 2707 Genesee St, Utica, NY 13501 | 2016-10-24 |
| 1689123614 | Angelica Pascone Martin | Physician Assistant | 2215 Genesee St., Utica, NY 13501 | 2016-10-03 |
| 1942673942 | Krista Lee Klopotek | Registered Nurse | 1151 Albany Street, Albany Elementary School, Utica, NY 13501 | 2015-11-12 |
| 1841618089 | Katherine Macaulay Lucey | Social Worker | 293 Genesee Street, The Neighborhood Center, Inc. Human Resources, Utica, NY 13501 | 2014-04-04 |
| 1578809067 | Laurie A Baker | Social Worker | 2307 Genesee St, Utica, NY 13501 | 2013-01-02 |
| 1104170505 | Amanda Knoeller | Social Worker | 683 Mary Street, Utica, NY 13501 | 2012-11-07 |
| Find all providers in zip 13501 | ||||
| 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 |
|---|---|---|---|---|
| 1184788879 | Deerfield Family Practice, Pllc | Family Medicine | 5592 Trenton Rd, Utica, NY 13502-1138 | 2006-12-20 |
| 1609934025 | Douglas Ahn | Family Medicine | 6 Rhoads Dr., Utica, NY 13502 | 2006-12-05 |
| 1003982836 | Robert Karl Chruscicki | Family Medicine | 288 Genesee Street, Utica, NY 13502-4620 | 2006-11-24 |
| 1154400745 | Roger H Meyer | Family Medicine | 800 3rd St, Utica, NE 68456-6162 | 2006-11-03 |
| 1982799862 | Anthony J Jadhon | Family Medicine | 1801 Whitesboro St, Utica, NY 13502-3719 | 2006-10-04 |
| 1730288762 | Mark Edward Griffing | Family Medicine | 2112 Genesee St, Utica, NY 13502-5629 | 2006-09-22 |
| 1174629422 | Mangala Patil | Family Medicine | 35 Riverside Dr., Utica, NY 13502 | 2006-09-15 |
| 1891739793 | Venkata R Mannava | Family Medicine | 320 Herkimer Road, Utica, NY 13502 | 2006-06-15 |
| 1518912641 | Cynthia L Jones | Family Medicine | 1651 Oneida St, Utica, NY 13501-4723 | 2006-05-24 |
| 1700877743 | Steven Sperling | Family Medicine | 6 Hampden Pl, Utica, NY 13502-5631 | 2005-10-31 |
| Find all providers in UTICA | ||||
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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.