DR. THOMAS PHILIP KENNEDY (NPI# 1881985182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881985182 |
| Entity Type | Individual |
| Full Name | DR. THOMAS PHILIP KENNEDY |
| Credential | M.D. |
| Practice Address |
801 Broadway N Fargo ND 58102-3641 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 7012342000 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
14096 | ND | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
63632 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Highland Ave, Madison, WI 537920001 | 6082638340 | 6082630682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356726897 | Thomas Kennedy | Counselor | 3135 Euclid Ave Ste 103, Cleveland, OH 44115-2524 | 2015-07-27 |
| 1699892281 | Thomas Michael Kennedy | Dentist | 1261 Clifty Hollow Rd, Madison, IN 47250-3049 | 2007-03-26 |
| 1326145681 | Thomas Michael Kennedy | Counselor | 511 Fort St Rm 505, Port Huron, MI 48060-3936 | 2006-09-20 |
| 1891748554 | Thomas Joseph Kennedy | Obstetrics & Gynecology | 4428 Houma Blvd, Ste 410, Metairie, LA 70006 | 2006-05-17 |
| 1982196895 | Thomas Kennedy | Case Manager/Care Coordinator | 125 E Main St, Barnesville, OH 43713-1005 | 2018-06-06 |
| 1396273173 | Thomas Lynn Kennedy Jr. | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2017-05-24 |
| 1689042749 | Thomas Kennedy | Behavioral Analyst | 1836 Fremont St, Ashland, OR 97520-2537 | 2015-09-07 |
| 1184034175 | Thomas Kennedy | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2014-04-30 |
| 1518388990 | Thomas Kennedy | Counselor | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2014-01-02 |
| 1558615831 | Thomas Robert Kennedy | Pharmacist | 230 N Wisconsin St, De Pere, WI 54115-2735 | 2012-11-07 |
| Street Address |
801 BROADWAY N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062924 | Mark F Fisher | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2005-06-13 |
| 1942809652 | Morgan Margaret Borud | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2020-10-22 |
| 1790392462 | Katie Thielges | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2020-09-28 |
| 1063022432 | Lindsey Schmidt | Genetic Counselor, MS | 801 Broadway N, Fargo, ND 58102-3641 | 2020-07-31 |
| 1336766161 | Yesha Shukla | Family Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2020-06-27 |
| 1891310850 | Samantha Mimi Chang | Family Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2020-06-15 |
| 1528683224 | Briana Lee Gebert-oberle | Student in an Organized Health Care Education/Training Program | 801 Broadway N, Fargo, ND 58102-3641 | 2020-06-09 |
| 1689296931 | Jillian Virginia Schommer | Student in an Organized Health Care Education/Training Program | 801 Broadway N, Fargo, ND 58102-3641 | 2020-05-09 |
| 1194344036 | Sarah Rose Carpenter | Genetic Counselor, MS | 801 Broadway N, Fargo, ND 58102-3641 | 2020-04-10 |
| 1346871258 | Randall Hagemeister | Nurse Anesthetist, Certified Registered | 801 Broadway N, Fargo, ND 58102-3641 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| 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 |
|---|---|---|---|---|
| 1346267812 | Francisco V Ouano | Radiology | 2907 32nd St S, Fargo, ND 58103-7863 | 2006-07-17 |
| 1114942372 | Kathleen Ann Wood | Radiology | 705 13th Ave N, Apt. 310, Fargo, ND 58102-2680 | 2006-07-12 |
| 1649251224 | Martha Slade Kearns | Radiology | 23 Briarwood Pl, Fargo, ND 58104-7308 | 2005-11-09 |
| 1528062924 | Mark F Fisher | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2005-06-13 |
| 1588078513 | Michael Samuel Lucin | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2014-06-18 |
| 1447661285 | Tarik Nurkic | Radiology | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2014-05-14 |
| 1528328754 | Matthias M Albin | Radiology | 3000 32nd Ave S, Fargo, ND 58103 | 2012-05-22 |
| 1437418993 | Safia Hope Cheeney | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2012-05-03 |
| 1922396993 | Adam F Stibbe | Radiology | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2011-07-12 |
| 1568754521 | Aaron Richard Jones | Radiology | 3000 32nd Ave S, Department of Radiology, Essentia Health, Fargo, ND 58103-6132 | 2011-05-10 |
| Find all providers in FARGO | ||||
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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.