DR. STEPHEN WILLIAM KENNEDY (NPI# 1689668279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689668279 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN WILLIAM KENNEDY |
| Credential | MD |
| Practice Address |
9300 W Stockton Blvd Ste 104 Elk Grove CA 95758-8070 |
| Practice Telephone | 9166912069 |
| Practice Fax Number | 9166912065 |
| Mailing Telephone | 9166912069 |
| Mailing Fax Number | 9166912065 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2009-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
A86061 | CA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE NPI - ORGANIZATION | 1629188941 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316566839 | Stephen Smith Kennedy | Internal Medicine | 1108 Doe Mountain Rd, Goodview, VA 24095-2496 | 2020-04-14 |
| 1700885498 | Stephen D Kennedy | Family Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628 | 2005-07-15 |
| 1487943098 | Stephen Alan Kennedy | Orthopaedic Surgery | 4245 Roosevelt Way Ne, Box 354740, Seattle, WA 98105-6008 | 2011-04-04 |
| 1003010984 | Stephen Rogers Kennedy | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2007-06-13 |
| 1770704660 | Stephen Kennedy | Counselor | 51 Union St, Worcester, MA 01608-1194 | 2007-05-01 |
| 1700957123 | Stephen D Kennedy | Family Medicine | 1694 W Logansport Rd, Peru, IN 46970-3149 | 2006-11-10 |
| 1457362980 | Stephen F Kennedy | Specialist | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2006-08-10 |
| 1407821424 | Stephen J Kennedy | Specialist | 1200 7th Avenue North, St. Petersburg, FL 33705-1300 | 2006-02-22 |
| Street Address |
9300 W STOCKTON BLVD STE 104 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-8070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209480 | Blanche Nicole Bergeron | Marriage & Family Therapist | 9300 W Stockton Blvd, Elk Grove, CA 95758-8070 | 2019-11-14 |
| 1033768346 | Allison Hackett | Speech-Language Pathologist | 9300 W Stockton Blvd, Elk Grove, CA 95758-8070 | 2019-09-09 |
| 1689831638 | Raul Romea, M.d., Inc. | Internal Medicine | 9300 W Stockton Blvd, 112, Elk Grove, CA 95758-8070 | 2008-05-19 |
| 1629188941 | Stephen Kennedy, Md, Inc. | Radiology | 9300 W Stockton Blvd, Suite # 104, Elk Grove, CA 95758-8070 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 2471B0102X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Bone Densitometry |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003372624 | Mccloud Healthcare Clinic, Inc. | Radiologic Technologist | 828 Pine St, Mount Shasta, CA 96067-2137 | 2019-02-19 |
| 1033614193 | Timothy S. Johnston, M.d. PC | Radiologic Technologist | 3349 G St Ste B, Merced, CA 95340-0978 | 2018-03-29 |
| 1114171675 | Soloutions & Insights | Radiologic Technologist | 34163 Pacific Coast Hwy, Suite 100, Dana Point, CA 92629-2848 | 2008-11-11 |
| 1801072301 | Cynthia Kingery | Radiologic Technologist | 3179 Alta Laguna Blvd, Laguna Beach, CA 92651-2061 | 2008-01-14 |
| 1801086616 | The Osteoporosis Medical Center | Radiologic Technologist | 8641 Wilshire Blvd Ste 301, Beverly Hills, CA 90211-2921 | 2007-07-27 |
| 1083725329 | Julie A Wade | Radiologic Technologist | 105 E Oberlin Rd, Yreka, CA 96097-9553 | 2006-08-31 |
| 1780090787 | Mobile Medical Examination Services Mso | Radiologic Technologist | 1241 E Dyer Rd Ste 145, Santa Ana, CA 92705-5694 | 2014-07-10 |
| 1003963299 | Osteoporosis Diagnostic Center | Radiologic Technologist | 2773 Harris St, Suite F, Eureka, CA 95503-4866 | 2007-01-03 |
| 1164584892 | Northern California Institute for Bone Health, Inc | Radiologic Technologist | 50 Vashell Way, Suite 400, Orinda, CA 94563 | 2006-12-16 |
| 1972671725 | Vanessa G Au | Radiologic Technologist | 350 30th St, #320, Oakland, CA 94609-3424 | 2006-12-01 |
| Find all providers with the same taxonomy | ||||
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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.