TIMOTHY ROBERT KENNEDY (NPI# 1720033319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720033319 |
| Entity Type | Individual |
| Full Name | TIMOTHY ROBERT KENNEDY |
| Credential | M.D. |
| Practice Address |
1780 Nw Myhre Rd Suite 2120 Silverdale WA 98383-8676 |
| Mailing Address |
9621 Ridgetop Blvd Nw Silverdale WA 98383-8502 |
| Practice Telephone | 3607823100 |
| Practice Fax Number | 3607823115 |
| Mailing Telephone | 3607823102 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD00027437 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 5374029 | 01 | |
| DEA | BK2578497 | 01 | |
| WA | 8128431 | 05 | |
| WA | LABOR & INDUSTRIES | 134954 | 01 |
| RAILROAD MEDICARE | 160015562 | 01 | |
| REGENCE BLUE SHIELD | 1277KE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962856732 | Timothy Kennedy | Internal Medicine | 6701 Airprot Blvd, Ste A101, Mobile, AL 36608-0000 | 2016-04-19 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| 1568433720 | Timothy J Kennedy | Chiropractor | 1712 15th Street Pl, Moline, IL 61265-3961 | 2006-01-27 |
| 1043587751 | Timothy Kennedy | Specialist/Technologist | 4225 Genesee St, Cheektowaga, NY 14225-1994 | 2011-11-23 |
| 1346406238 | Timothy Martin Kennedy | Occupational Therapist | 25 Chateau Ter, Amherst, NY 14226-3927 | 2008-07-31 |
| 1235394255 | Timothy John Kennedy | Surgery | 195 Little Albany St, Suite 560, New Brunswick, NJ 08901-1914 | 2008-07-21 |
| 1790830610 | Timothy Alan Kennedy | Social Worker | 6827 N High St, 121, Worthington, OH 43085-2517 | 2007-01-23 |
| 1891885869 | Timothy B Kennedy | Psychiatry & Neurology | 3188 Atlanta Road, Smyrna, GA 30080 | 2006-10-13 |
| 1417985631 | Timothy J Kennedy | Urology | 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 | 2006-06-28 |
| 1356398283 | Timothy C Kennedy | Internal Medicine | 1601 E 19th Ave, 6250, Denver, CO 80218-1216 | 2006-05-27 |
| Street Address |
1780 NW MYHRE RD SUITE 2120 |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-8676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285603829 | Steffan Ross Tolles | Family Medicine | 1780 Nw Myhre Rd, Suite 2360, Silverdale, WA 98383-8676 | 2006-03-16 |
| 1649683616 | The Art of Health, Pllc | Clinic/Center | 1780 Nw Myhre Rd, Suite 1250, Silverdale, WA 98383-8676 | 2014-06-08 |
| 1184819419 | Marie F Bailey, Msn, Cs, Arnp, Pllc | Nurse Practitioner | 1780 Nw Myhre Rd, Suite 1250, Silverdale, WA 98383-8676 | 2007-09-10 |
| 1215063854 | Amy Michelle Anderson | General Practice | 1780 Nw Myhre Rd, Suite 1250, Silverdale, WA 98383-8676 | 2007-02-26 |
| 1598802399 | Tai H Luong | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2007-01-31 |
| 1366589236 | Victor Leen | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2007-01-31 |
| 1033256912 | Howard N Douds | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2007-01-31 |
| 1265579171 | Michael L Cook | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2007-01-31 |
| 1750441614 | Olympic Medical Imaging Consultants, Pllc | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2006-12-11 |
| 1003974460 | Advanced Medical Imaging, LLC | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669738282 | Catharine L Giani | Obstetrics & Gynecology | 1780 Nw Myhre Rd Ste 2120, Silverdale, WA 98383-8676 | 2012-04-09 |
| 1861880395 | Yoon Cho | Obstetrics & Gynecology | 1780 Nw Myhre Rd Ste 2120, Silverdale, WA 98383-8676 | 2015-01-06 |
| 1326338286 | Amity Elizabeth Marriott | Obstetrics & Gynecology | 9750 Levin Rd Nw, Silverdale, WA 98383-8399 | 2011-04-12 |
| 1356525802 | Jennifer C Quimby | Obstetrics & Gynecology | 9750 Levin Rd Nw, Silverdale, WA 98383-8399 | 2007-12-19 |
| 1619151172 | Anita Alvestad-mcintyre | Obstetrics & Gynecology | 9750 Levin Rd Nw, Silverdale, WA 98383-8399 | 2007-12-19 |
| 1437333986 | Nancy J Bohannon | Obstetrics & Gynecology | 9750 Levin Rd Nw, Silverdale, WA 98383-8399 | 2007-12-19 |
| 1205041225 | Asha Kamnani | Obstetrics & Gynecology | 1800 Nw Myhre Rd, Harrison Medical Center, Silverdale, WA 98383-7663 | 2007-05-12 |
| 1407929086 | Matthew E. Zarnecki | Obstetrics & Gynecology | 1780 Nw Myhre Rd, Suite 1250, Silverdale, WA 98383-8676 | 2006-11-15 |
| 1992734750 | Julie Amber Mcmillan | Obstetrics & Gynecology | 1780 Nw Myhre Rd, Suite 2120, Silverdale, WA 98383-8676 | 2006-07-02 |
| 1780610659 | Melissa Lo | Obstetrics & Gynecology | 1780 Nw Myhre Rd, Silverdale, WA 98383-8676 | 2006-06-23 |
| Find all providers in SILVERDALE | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
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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.