KENNETH L DWYER (NPI# 1861500167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861500167 |
| Entity Type | Individual |
| Full Name | KENNETH L DWYER |
| Credential | M.D. |
| Practice Address |
401 6th Ave Montgomery WV 25136-2116 |
| Practice Telephone | 3044425151 |
| Mailing Telephone | 3044425151 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
13704 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0119988000 | 05 |
| Street Address |
401 6TH AVE |
| City | MONTGOMERY |
| State | WV |
| Zip Code | 25136-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226424 | Fred L Akerberg | Family Medicine | 401 6th Ave, # D303, Montgomery, WV 25136-2116 | 2005-06-22 |
| 1275163644 | Montgomery Physicians Clinic | Family Medicine | 401 6th Ave, Montgomery, WV 25136-2116 | 2020-01-24 |
| 1548890221 | Montgomery Pediatrics | Pediatrics | 401 6th Ave, Montgomery, WV 25136-2116 | 2020-01-22 |
| 1023671310 | Kara Shae Criswell | Pediatrics | 401 6th Ave, Montgomery, WV 25136-2116 | 2019-04-22 |
| 1043672884 | Aaron Bailey | Physician Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2016-03-22 |
| 1013372531 | Montgomery Gen Cahgrp | Family Medicine | 401 6th Ave, Montgomery, WV 25136-2116 | 2015-12-29 |
| 1992100010 | Montgomery Gen Cahgrp | Family Medicine | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-10-31 |
| 1831503655 | Ghassan Y. Dagher | Optometrist | 401 6th Ave, Suite 110, Montgomery, WV 25136-2116 | 2014-06-19 |
| 1891108502 | Katie Carpenter | Physician Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-06-10 |
| 1184041865 | Laura Sheets | Occupational Therapy Assistant | 401 6th Ave, Montgomery, WV 25136-2116 | 2014-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
| 1871684324 | Montgomery General Hospital, Inc. | Skilled Nursing Facility | 401 Sixth Avenue, Montgomery, WV 25136 | 2006-09-28 |
| 1124070149 | Adin Lim Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-17 |
| 1902350275 | Willard Truman Long Jr. | Social Worker | 410 Ferry St, Montgomery, WV 25136 | 2016-08-04 |
| 1922160787 | Adin L Timbayan Md Inc | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-12-15 |
| 1245281195 | Victoria Santos Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-15 |
| 1063591816 | Karon Rae Myers | Registered Nurse | 401 Sixth Avenue, Montgomery General Hospital, Montgomery, WV 25136-0270 | 2006-11-03 |
| 1467614933 | Arpan Kohli | Student in an Organized Health Care Education/Training Program | 420 3rd Ave, Montgomery, WV 25136-2101 | 2008-06-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| 1447311451 | Kennedy Dental Office | Dentist | 410 4th Ave, Montgomery, WV 25136-2105 | 2006-12-13 |
| Find all providers in zip 25136 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1770866444 | Lighthouse Physician Services, Pllc | Radiology | 427 Trace Way Dr, Montgomery, TX 77316-6852 | 2011-09-20 |
| 1174769871 | Telerad of Alabama Account Management | Radiology | 181 Tensaw Rd, Montgomery, AL 36117-4125 | 2008-12-30 |
| 1205808755 | Ross Barnett | Radiology | 7094 University Ct, Montgomery, AL 36117-6992 | 2006-02-07 |
| 1194700450 | Gary Wayne Scott | Radiology | 1825 Park Pl, Montgomery, AL 36106-1149 | 2005-12-09 |
| 1861477127 | Kenneth Joe Richardson | Radiology | 1825 Park Place, Montgomery, AL 36117-3439 | 2005-12-09 |
| 1730173121 | Mary M Karst | Radiology | 2055 Normandie Dr, Suite 108, Montgomery, AL 36111-2732 | 2005-08-31 |
| 1750382883 | Mulberry Diagnostic Imaging | Radiology | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2005-08-10 |
| 1841696622 | Imi Radiology, Pllc | Radiology | 249 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2014-11-06 |
| 1932535556 | Hoover Radiology, LLC | Radiology | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2013-09-16 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 25136 |
Please comment or provide details below to improve the information on KENNETH L DWYER.
| 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.