JOHN PETER KENNEDY (NPI# 1740273010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740273010 |
| Entity Type | Individual |
| Full Name | JOHN PETER KENNEDY |
| Credential | MD |
| Practice Address |
4900 Mercury Dr Ste 201 Dearborn MI 48126-2947 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 3135835440 |
| Practice Fax Number | 3135835542 |
| Mailing Telephone | 9475221863 |
| Mailing Fax Number | 9475220307 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 4301073494 | MI | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | MD428982 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1016397670002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1487056727 | John Kennedy | Registered Nurse | 21 Fordham St, Williston Park, NY 11596-1822 | 2014-09-18 |
| 1932480894 | John Thomas Kennedy | Counselor | 476 Skiff Mountain Rd, Kent, CT 06757-1112 | 2011-09-06 |
| 1962736835 | John Lowry Kennedy | Pharmacist | 1716 E Broad St, Statesville, NC 28625-4306 | 2009-09-25 |
| 1699948182 | John Francis Kennedy | Occupational Therapist | 11088 Brandywine Lake Way, Boynton Beach, FL 33473-4888 | 2008-04-07 |
| 1508069048 | John R Kennedy | Dentist | 3515 Mansfield Hwy, Fort Worth, TX 76119-6718 | 2007-06-11 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
| 1730395005 | John Patrick Kennedy | Chiropractor | 1280 W Peachtree St Nw, Suite 130, Atlanta, GA 30309-3445 | 2007-05-15 |
| 1841321478 | John A Kennedy | Technician/Technologist | 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 | 2007-03-07 |
| 1629113725 | John Kennedy | Chiropractor | 1951 Hoover Ct, Suite 101, Hoover, AL 35226-3606 | 2007-02-20 |
| Street Address |
4900 MERCURY DR STE 201 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215242144 | Elizabeth Marie Oliver | Dietitian, Registered | 4900 Mercury Dr Ste 201, Dearborn, MI 48126-2947 | 2010-08-16 |
| 1962671339 | Julie Diane Mladic | Obstetrics & Gynecology | 4900 Mercury Dr Ste 201, Dearborn, MI 48126-2947 | 2008-02-29 |
| 1245435049 | Donna Alice Onesian | Social Worker | 4900 Mercury Dr Ste 201, Oakwood Healthcare Center Mercury Drive, Dearborn, MI 48126-2947 | 2007-06-20 |
| 1255408621 | Shari L. Maxwell | Obstetrics & Gynecology | 4900 Mercury Dr Ste 201, Dearborn, MI 48126-2947 | 2006-11-29 |
| 1902820715 | Amy Kerner | Obstetrics & Gynecology | 4900 Mercury Dr Ste 201, Dearborn, MI 48126-2947 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| 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 |
|---|---|---|---|---|
| 1568026060 | Joana Hwang Nam | Obstetrics & Gynecology | 18101 Oakwood Blvd # 126, Dearborn, MI 48124-4089 | 2019-04-30 |
| 1215467717 | Farnoosh Qadri | Obstetrics & Gynecology | 18101 Oakwood Blvd Ste 126, Dearborn, MI 48124-4089 | 2017-06-15 |
| 1497949812 | Ghazala Azam Ahmed | Obstetrics & Gynecology | 2421 Monroe St Ste 201, Dearborn, MI 48124-3043 | 2007-08-29 |
| 1770793416 | Eiliana Bitar | Obstetrics & Gynecology | 14461 Ford Rd, Dearborn, MI 48126-3174 | 2007-05-23 |
| 1003942822 | Peter Stevenson | Obstetrics & Gynecology | 2100 Monre, Dearborn, MI 48124 | 2007-02-26 |
| 1083769491 | Rekha Das | Obstetrics & Gynecology | 5500 Auto Club Dr Ste 210, Dearborn, MI 48126-2779 | 2007-01-24 |
| 1598834038 | Women Medical Center,pc | Obstetrics & Gynecology | 9724 Dix, Dearborn, MI 48120-1566 | 2006-11-07 |
| 1184696718 | Nourhan Orabi | Obstetrics & Gynecology | 25325 Ford Rd, Dearborn, MI 48128-1086 | 2006-02-07 |
| 1356342596 | Jouhaina Maleh | Obstetrics & Gynecology | 5728 Schaefer Rd, Suite 100, Dearborn, MI 48126-2298 | 2005-08-10 |
| 1962406603 | Jodi Robinson | Obstetrics & Gynecology | 25080 Michigan Ave, Dearborn, MI 48124-1740 | 2005-06-10 |
| Find all providers in DEARBORN | ||||
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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.