MR. RICHARD KENNEDY (NPI# 1629519574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629519574 |
| Entity Type | Individual |
| Full Name | MR. RICHARD KENNEDY |
| Credential | PA-C |
| Practice Address |
7300 Hanover Dr Ste 104 Greenbelt MD 20770-2250 |
| Mailing Address |
7474 Greenway Center Dr Ste 650 Greenbelt MD 20770-3560 |
| Practice Telephone | 3014864690 |
| Mailing Telephone | 3019822000 |
| Mailing Fax Number | 3019822001 |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0006406 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 131459900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104045947 | Richard P Kennedy | Physical Therapist | 25 Braintree Hill Office Park, Braintree, MA 02184-8702 | 2007-04-24 |
| 1285859744 | Richard P Kennedy | Radiology | 1771 Deer Run Rd, Bethlehem, PA 18015-5002 | 2007-04-17 |
| 1578689493 | Richard D Kennedy | Family Medicine | 96 Integrity Dr Ste H, Hebron, OH 43025-7013 | 2007-03-22 |
| 1548398654 | Richard F Kennedy | Social Worker | 6435 E. Broad St Suite A, Children's Hospital Guidance Center, Columbus, OH 43213 | 2007-03-01 |
| 1285720391 | Richard George Kennedy | Dentist | 27180 Newport Road Suite 1, Menifee, CA 92584-2248 | 2006-10-05 |
| 1487668513 | Richard L Kennedy | Pain Medicine | 1250 S Sunset Ave # 100-b, West Covina, CA 91790-3961 | 2006-07-27 |
| 1942225313 | Richard Thomas Kennedy | Family Medicine | 169 North Second Ave, Hartford, AL 36344 | 2006-07-13 |
| 1558311951 | Richard W. Kennedy | Dentist | 1246 Nilles Rd, Suite 3, Fairfield, OH 45014-2912 | 2006-05-10 |
| 1881659845 | Richard Gordon Kennedy | Family Medicine | 1835 Fairport Nine Mile Point Rd, Ste 100, Penfield, NY 14526-1903 | 2006-04-20 |
| 1528030152 | Richard L Kennedy | Dentist | 531 Central Park Ave, Suite 101, Scarsdale, NY 10583-1018 | 2006-02-07 |
| Street Address |
7300 HANOVER DR STE 104 |
| City | GREENBELT |
| State | MD |
| Zip Code | 20770-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982650719 | Michael D Malone | Surgery | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2006-05-25 |
| 1275189862 | Janee Monique White | Nurse Practitioner | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2019-08-11 |
| 1134772460 | Deborah Andrea Drummond | Nurse Practitioner | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2019-07-16 |
| 1982114047 | Krystal Alcott | Internal Medicine | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2017-10-03 |
| 1043656309 | Katherine Durland Lyons | Physician Assistant | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2013-05-14 |
| 1104073808 | Ratna M. Kunasani | Surgery | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805405 | Caring Hands Medical Clinic LLC | Nurse Practitioner | 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 | 2020-09-10 |
| 1770107203 | Jeannette Nicole Welds | Social Worker | 7710-303 Hanover Parkway, Greenbelt, MD 20770 | 2020-06-01 |
| 1063032597 | Victory Clinical Research | Specialist | 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 | 2020-04-24 |
| 1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
| 1245884519 | Antonio Moody | Counselor | 7474 Greenbelt Center Drive, Greenbelt, MD 20770 | 2019-07-25 |
| 1881166494 | Jeniece Edwina Weddington | Speech-Language Pathologist | Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 | 2018-12-20 |
| 1043797996 | Thomas Mesumbe | Home Health Aide | 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 | 2018-07-24 |
| 1063914554 | Zainab Anita Foday | Home Health Aide | 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 | 2018-03-01 |
| 1619479193 | Nancy Benga | Home Health Aide | 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 | 2018-03-01 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
| Find all providers in zip 20770 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252015 | Neha Shrestha | Physician Assistant | 7806 Somerset Ct, Greenbelt, MD 20770-3022 | 2020-07-08 |
| 1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
| 1396286902 | Kelsey Noel Ortbahn | Physician Assistant | 7501 Greenway Center Dr Ste 620, Greenbelt, MD 20770-6702 | 2017-03-15 |
| 1720471725 | Kerin Lynn Hamilton | Physician Assistant | 7474 Greenway Center Dr Ste 700a, Greenbelt, MD 20770-3523 | 2015-03-15 |
| 1073178919 | Gbessay Nyallay Ngombi | Physician Assistant | 7225 Hanover Pkwy, Greenbelt, MD 20770-2024 | 2019-05-06 |
| 1700255726 | Dominique Clark | Physician Assistant | 7474 Greenway Center Dr Ste 730, Greenbelt, MD 20770-3523 | 2015-09-21 |
| 1518352251 | Sarah Mubeen Syeda | Physician Assistant | 7501 Greenway Center Dr, Suite 660, Greenbelt, MD 20770-3514 | 2015-03-31 |
| 1972928620 | Helen Chemere | Physician Assistant | 7501 Greenway Center Dr, Suite 730, Greenbelt, MD 20770-3514 | 2014-03-04 |
| 1043656309 | Katherine Durland Lyons | Physician Assistant | 7300 Hanover Dr Ste 104, Greenbelt, MD 20770-2250 | 2013-05-14 |
| 1053522813 | Allison Wagner Scaduto | Physician Assistant | 7701 Greenbelt Rd, Suite 504, Greenbelt, MD 20770-2037 | 2007-05-24 |
| Find all providers in GREENBELT | ||||
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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.