KENNEDY ORTHOPEDIC SERVICES, INC. (NPI# 1841561859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841561859 |
Entity Type | Organization |
Organization Name | KENNEDY ORTHOPEDIC SERVICES, INC. |
Practice Address |
1819 E Yale Dr Tempe AZ 85283-2249 |
Practice Telephone | 6023200335 |
Practice Fax Number | 4802488993 |
Mailing Telephone | 6023200335 |
Mailing Fax Number | 4802488993 |
Enumeration Date | 2012-01-23 |
Last Update Date | 2012-06-28 |
Authorized Official Name | MR. RYAN DAVID KENNEDY (PRESIDENT) |
Authorized Official Telephone | 6023200335 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2765 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1819 E YALE DR |
City | TEMPE |
State | AZ |
Zip Code | 85283-2249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
Find all providers in zip 85283 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
1306249420 | Sonoran Surgical Pllc | Physician Assistant | 2502 S Cottonwood Dr, Tempe, AZ 85282-3071 | 2014-10-02 |
1710940192 | Lanny L Oden | Physician Assistant | 1186 E Redfield Rd, Tempe, AZ 85283-5732 | 2006-04-07 |
1700888716 | Physician Assistant Services | Physician Assistant | 7804 S Jentilly Ln, Tempe, AZ 85284-1562 | 2005-08-10 |
1891190062 | Donald Grace | Physician Assistant | 1255 W Rio Salado Pkwy, Suite 107, Tempe, AZ 85281-2816 | 2014-10-29 |
1538410071 | Mara Danielle Immediato | Physician Assistant | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2012-09-24 |
1316182926 | Jennifer Johnstad LLC | Physician Assistant | 2421 E Southern Ave, Suite 1, Tempe, AZ 85282-7612 | 2008-12-10 |
1346383387 | Arizona Surgeon Assistance | Physician Assistant | 2000 E Southern Ave, #105, Tempe, AZ 85282-7510 | 2007-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760030647 | Blaine Wesley Price | Physician Assistant | 796 W Jardin Dr, Casa Grande, AZ 85122-6162 | 2019-09-03 |
1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
1972166858 | Red Heart Surgical Assisting | Physician Assistant | 43643 W Arizona Ave, Maricopa, AZ 85138-5642 | 2019-04-17 |
1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
1720597214 | Merieme Khamsi | Physician Assistant | 14674 W Mountain View Blvrd #210, Surprise, AZ 85374 | 2017-09-27 |
1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
1982124509 | Catherine Fredrickson | Physician Assistant | 51312 W Deer Run Rd, Maricopa, AZ 85139-3554 | 2017-06-24 |
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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.