DR. JOHNATHAN KENNEDY (NPI# 1609398049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609398049 |
| Entity Type | Individual |
| Full Name | DR. JOHNATHAN KENNEDY |
| Other Name | JOHNATHAN KENNEDY |
| Credential | MD |
| Practice Address |
3090 Caruso Ct Ste 20 Orlando FL 32806-8510 |
| Mailing Address |
1414 Kuhl Ave # Mp31 Orlando FL 32806-2008 |
| Practice Telephone | 9548293055 |
| Mailing Telephone | 4072376329 |
| Mailing Fax Number | 4072376313 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME144369 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235654872 | Johnathan Kennedy | Case Manager/Care Coordinator | 615 5th St, Brookings, OR 97415-9199 | 2017-08-04 |
| Street Address |
3090 CARUSO CT STE 20 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164906004 | Miranda Aldamuy | Physician Assistant | 3090 Caruso Ct Ste 20, Orlando, FL 32806-8510 | 2018-09-17 |
| 1306360094 | George Gulenay | Emergency Medicine | 3090 Caruso Ct Ste 20, Orlando, FL 32806-8510 | 2017-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| 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 |
|---|---|---|---|---|
| 1699297028 | Ian Little | Emergency Medicine | 1414 Kuhl Ave # Mp156, Orlando, FL 32806-2008 | 2017-07-07 |
| 1639613565 | West Colonial Urgent Care | Emergency Medicine | 4220 W Colonial Dr, Suite 3, Orlando, FL 32808-8174 | 2016-12-12 |
| 1912325721 | Kevin Goldman | Emergency Medicine | 335 N Magnolia Ave, Orlando, FL 32801-1667 | 2014-03-31 |
| 1871925776 | Steven Swearingen | Emergency Medicine | 7727 Lake Underhill Road, Florida Hospital East, Orlando, FL 32822 | 2013-08-01 |
| 1245572700 | Carlos Velasco | Emergency Medicine | 601 E Rollins St., Orlando, FL 32803 | 2013-03-22 |
| 1366731846 | Stephanie Elizabeth Burgos | Emergency Medicine | 4409 Hoffner Ave # 405, Orlando, FL 32812-2331 | 2011-04-05 |
| 1518123512 | Ja-lynn Kuo | Emergency Medicine | 2014 W Colonial Dr, Orlando, FL 32804-6908 | 2008-07-30 |
| 1205032760 | Turi K Maki | Emergency Medicine | 10208 Kensington Shore Dr, Orlando, FL 32827-7306 | 2007-06-22 |
| 1639203151 | Usha Jain | Emergency Medicine | 4800 S Apopka Vineland Rd, Orlando, FL 32819-3127 | 2007-03-15 |
| 1770621898 | Bryan Jason Fox | Emergency Medicine | 4042 Middlebrook Rd Apt 1413, Orlando, FL 32811-6773 | 2007-02-01 |
| Find all providers in ORLANDO | ||||
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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.