DR. MATTHEW LEO KENNEDY (NPI# 1811481567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811481567 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW LEO KENNEDY |
| Credential | DO |
| Practice Address |
1215 E Michigan Ave # 3-post Lansing MI 48912-1811 |
| Mailing Address |
317 E Cesar E Chavez Ave Apt A Lansing MI 48906-4440 |
| Practice Telephone | 5173642583 |
| Mailing Telephone | 5862199916 |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2018-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 51010241678 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851856 | Matthew Kennedy | Pharmacist | 4851 Russell Pkwy Ste 100, Warner Robins, GA 31088-9300 | 2020-05-05 |
| 1821155896 | Matthew Kennedy | Dentist | 4252 N Verrado Way, Suite 105, Buckeye, AZ 85396-7586 | 2007-01-02 |
| 1265032817 | Matthew Donald Kennedy | Pharmacist | 335 Ocean House Rd, Cape Elizabeth, ME 04107-2441 | 2020-10-31 |
| 1265057038 | Matthew Lawrence Kennedy | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-08 |
| 1558874099 | Matthew Kennedy | Student in an Organized Health Care Education/Training Program | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2017-11-07 |
| 1194267179 | Matthew Kennedy | Physician Assistant | 3444 Masonic Dr, Alexandria, LA 71301-3615 | 2016-11-08 |
| 1396000774 | Matthew C Kennedy | Dentist | 5006 Dodge St, Omaha, NE 68132-2920 | 2012-07-11 |
| 1669614814 | Matthew Davis Kennedy | Physical Therapist | 3200 Chouteau Ave, Saint Louis, MO 63103-2910 | 2009-04-02 |
| 1003956582 | Matthew Kennedy | Pharmacist | 3318 Canoe Creek Rd, Saint Cloud, FL 34772-6511 | 2007-02-07 |
| Street Address |
1215 E MICHIGAN AVE # 3-POST |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497248355 | Mont R Roberts | Emergency Medicine | 1215 E Michigan Ave # 3-post, Lansing, MI 48912-1811 | 2018-06-14 |
| 1821655796 | Ciara Amber Willis | Student in an Organized Health Care Education/Training Program | 1215 E Michigan Ave # 3-post, Lansing, MI 48912-1896 | 2019-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1497248355 | Mont R Roberts | Emergency Medicine | 1215 E Michigan Ave # 3-post, Lansing, MI 48912-1811 | 2018-06-14 |
| 1972986511 | Denise Kohl | Emergency Medicine | 1215 East Michigan Ave., Sparrow Health Systems, Lansing, MI 48909 | 2015-07-01 |
| 1679735757 | Bradley Li | Emergency Medicine | 1210 E Michigan Ave, Lansing, MI 48912-1812 | 2008-06-30 |
| 1902089295 | Poomathi Sadhishkumar | Emergency Medicine | 1515 Lake Lansing Rd Ste C2, Lansing, MI 48912-3752 | 2007-12-10 |
| 1033308481 | Henry Carl Nygren | Emergency Medicine | 707 Prudden St, Apt 138, Lansing, MI 48906-5383 | 2007-10-22 |
| 1629282538 | Derek Steele | Emergency Medicine | 1215 East Michigan Avenue, Lansing, MI 48912 | 2007-05-09 |
| 1851414981 | Maxen Lane Baumgardner | Emergency Medicine | 1215 E. Michigan Ave, Sparrow Hospital, Attn Dr Baumgardner - Er, Lansing, MI 48912 | 2007-04-06 |
| 1922120567 | Stephanie Mann | Emergency Medicine | 2301 Belaire Dr, Lansing, MI 48911-1612 | 2007-04-04 |
| 1437176351 | Quickhealth - After Hours Medical Access Clinic, P.C. | Emergency Medicine | 740 N Waverly Rd, Lansing, MI 48917-2268 | 2006-07-16 |
| Find all providers in LANSING | ||||
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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.