JOHN ELIASON KENWORTHY (NPI# 1700260130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700260130 |
| Entity Type | Individual |
| Full Name | JOHN ELIASON KENWORTHY |
| Credential | D.O. |
| Practice Address |
1906 W Us Highway 82 Sherman TX 75092 |
| Mailing Address |
5016 S Us Highway 75 Attn: Residency Program Denison TX 75020-4584 |
| Practice Telephone | 9038928398 |
| Practice Fax Number | 9038926665 |
| Mailing Telephone | 7144146339 |
| Mailing Fax Number | 9034166195 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R1057 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | BP10054762 59475 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5016 S Us Highway 75, Attn: Residency Program, Denison, TX 750204584 | 7144146339 | 9034166195 |
| Street Address |
1906 W US HIGHWAY 82 |
| City | SHERMAN |
| State | TX |
| Zip Code | 75092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427166917 | Rose M Marr | Nurse Practitioner | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2006-08-26 |
| 1558814236 | Kayla Renee Hudson | Physician Assistant | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2016-07-28 |
| 1225277106 | Lacie Dyanne Mitchell | Physician Assistant | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2009-02-17 |
| 1568600740 | Karen Louise Young | Nurse Practitioner | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2009-01-27 |
| 1205925245 | Helen Schulze | Family Medicine | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2006-10-11 |
| 1750470704 | Bradley G Hodge | Family Medicine | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2006-10-11 |
| 1659460608 | Ronald A Woods Jr. | Family Medicine | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2006-10-11 |
| 1780773739 | Jasyn Haney I | Family Medicine | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2006-10-11 |
| 1083702005 | James T Russell | Family Medicine | 1906 W Us Highway 82, Sherman, TX 75092-6893 | 2006-10-11 |
| 1205947108 | Deborah Jeanette Reinert | Nurse Practitioner | 1906 W Us Highway 82, Suite 200, Sherman, TX 75092-6893 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869953 | Stokes & Carter Orthodontics, LLP | Clinic/Center | 2921 N. Heritage Parkway, Ste. 200, Sherman, TX 75092 | 2020-07-30 |
| 1033684543 | Brittany Shyrell Brown | Nurse Practitioner | 140 W. Lamberth Rd Ste. C, Sherman, TX 75092 | 2018-10-11 |
| 1134675333 | Sherman Select, LLC | Clinic/Center | 4226 Us Highway 75, North, Sherman, TX 75092 | 2016-08-28 |
| 1164884789 | Michelle Kay Triche | Nurse Practitioner | 1000 S. Heritage Parkway, Sherman, TX 75092 | 2016-03-23 |
| 1295109858 | Stokes Orthodontics | Dentist | 2921 N. Heritage Parkway, Suite 200, Sherman, TX 75092 | 2015-11-19 |
| 1851771810 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2210 N F.m. 1417, Sherman, TX 75092 | 2015-06-04 |
| 1629314133 | Ashley Nicole White | Counselor | 8370 Us Highway 82, Sherman, TX 75092 | 2013-01-02 |
| 1831452978 | M. Sue Jennings | Counselor | 402 W. Lamar St, Suite 104, Sherman, TX 75092 | 2012-06-22 |
| 1437447562 | Oscar Villafane | Optometrist | Long Vision Center, 2203 N Heritage Pkwy, Sherman, TX 75092 | 2011-07-11 |
| 1043443062 | Angela Renee Wright | Registered Nurse | 3415 North Heritage Parkway, Sherman, TX 75092 | 2009-08-25 |
| Find all providers in zip 75092 | ||||
| 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 |
|---|---|---|---|---|
| 1619498490 | John Herman Roberts Jr. | Family Medicine | 1111 Gallaher Dr., Sherman, TX 75090 | 2017-06-30 |
| 1245780402 | Philip H. Yeilding P.C. | Family Medicine | 600 N Highland Ave Ste 108, Sherman, TX 75092-5631 | 2016-10-11 |
| 1366749301 | Enrique Muyshondt-contreras | Family Medicine | 1913 Stonebrook Ln, Sherman, TX 75092-6189 | 2011-02-25 |
| 1962637967 | Maria Alejandra Vallejo-nieto | Family Medicine | 2907 Overland Trl Ste 200, Sherman, TX 75092-4498 | 2009-05-19 |
| 1780808832 | Center for Family Medicine,pa | Family Medicine | 1906 Hwy 82 West, Sherman, TX 75092 | 2007-04-12 |
| 1598809741 | Grant Arnold Craig | Family Medicine | 2801 N Loy Lake Rd, Sherman, TX 75090-1726 | 2007-02-19 |
| 1225126469 | Christian A Cooper | Family Medicine | 1906 Hwy 82 W, Sherman, TX 75092 | 2006-10-11 |
| 1609963214 | Leticia A. Drapiza | Family Medicine | 400 St. John's Drive, Sherman, IL 62684 | 2006-10-06 |
| 1326050832 | Shawn Bryden Macdonald | Family Medicine | 2500 N Travis St, Sherman, TX 75092-2521 | 2006-08-13 |
| 1790711919 | Jennifer Laing | Family Medicine | 1000 South Heritage Pkwy, Sherman, TX 75092 | 2006-06-23 |
| Find all providers in SHERMAN | ||||
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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.