RYAN O KENNEDY (NPI# 1922238294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922238294 |
| Entity Type | Individual |
| Full Name | RYAN O KENNEDY |
| Credential | M.D. |
| Practice Address |
2710 Swiss Ave Dallas TX 75204-5900 |
| Mailing Address |
3701 Junius St Cs11 G006 Dallas TX 75246-2026 |
| Practice Telephone | 2148211599 |
| Practice Fax Number | 2148218985 |
| Mailing Telephone | 2148211599 |
| Mailing Fax Number | 2148218985 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2015-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Q4786 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386275568 | Ryan Philip Kennedy | Counselor | 396 E Huston St, Barberton, OH 44203-3048 | 2020-01-28 |
| 1487147013 | Ryan Masaru Kennedy | Physician Assistant | 4421 E Hueneme Rd, Oxnard, CA 93033-8232 | 2018-06-08 |
| 1841610078 | Ryan Kennedy | Student in an Organized Health Care Education/Training Program | 478 American Legion Highway, Roslindale, MA 02131 | 2014-04-28 |
| 1376169458 | Ryan Elizabeth Kennedy | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-06-24 |
| 1629627740 | Ryan Kennedy | Physical Therapist | 279 Sunrise Hwy, Rockville Centre, NY 11570-4925 | 2019-09-11 |
| 1700394970 | Ryan John Kennedy | Nurse Practitioner | 500 S Sepulveda Blvd Ste 218, Manhattan Beach, CA 90266-6976 | 2018-01-22 |
| 1801319264 | Ryan Neil Kennedy | Licensed Vocational Nurse | 145 Glasson Way, Grass Valley, CA 95945-5723 | 2017-07-18 |
| 1578953196 | Ryan Evan Kennedy | Pharmacy Technician | 2021 Walnut St, Cary, NC 27518-9205 | 2015-02-03 |
| 1013265131 | Ryan Wright Kennedy | Dentist | 2784 N Decatur Rd, Ste 110, Decatur, GA 30033-5903 | 2012-08-21 |
| 1295053759 | Ryan Christopher Kennedy | Internal Medicine | 240 Medical Park Blvd, Ste 3800, Bristol, TN 37620-7346 | 2010-05-08 |
| Street Address |
2710 SWISS AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861696643 | Jennifer L. Mooney | Surgery | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2007-06-13 |
| 1730707910 | Shannon Angela Thomas | Registered Nurse | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2020-07-14 |
| 1538641188 | Laura Beth Austin-munoz | Nurse Practitioner | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2018-08-30 |
| 1609356062 | Daria Panahy | Nurse Practitioner | 2710 Swiss Ave, Dallas, TX 75204 | 2018-08-15 |
| 1083152862 | Allison Click | Nurse Practitioner | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2017-02-01 |
| 1588014823 | Kristina Mouch | Registered Nurse | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2016-06-17 |
| 1285008508 | Saloni Gandhi | Nurse Practitioner | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2015-11-24 |
| 1649640756 | Katherine Powers | Nurse Practitioner | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2015-10-01 |
| 1740671601 | Adrian Marc Ramos | Nurse Practitioner | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2015-02-13 |
| 1629467006 | Aneicha Smith | Nurse Practitioner | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2015-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831393735 | Alexander Laurance Eastman | Surgery | 5323 Harry Hines Blvd # Mc9158, Department of Surgery--btcc, Dallas, TX 75390-9158 | 2007-06-13 |
| 1750310520 | Matthew A Lovitt | Surgery | 2710 Swiss Avenue, Dallas, TX 75204-5900 | 2006-07-02 |
| 1912957200 | Medhealth | Surgery | 3400 W Wheatland Rd, Building IIi, Suite 360, Dallas, TX 75237-4408 | 2006-05-10 |
| 1316434384 | Donald N Reed Jr, Md Pllc | Surgery | 9301 N. Central Expy, Tower II, Suite 180a, Dallas, TX 75231 | 2018-04-16 |
| 1922496967 | Australian Herring Surgical Specialists Pllc | Surgery | 13737 Noel Rd, Ste 1600, Dallas, TX 75240-1331 | 2014-12-29 |
| 1144626698 | Acute Surgical Care Specialists, LLC | Surgery | 13737 Noel Rd, Ste 1600, Dallas, TX 75240-1331 | 2014-11-11 |
| 1386935294 | Thomas Hugh Shoultz | Surgery | 5323 Harry Hines Blvd, Surgery Department, Dallas, TX 75390 | 2011-04-26 |
| 1144463340 | Rebecca Joanne Weddle | Surgery | 2710 Swiss Ave, Dallas, TX 75204-5900 | 2009-04-17 |
| 1730345208 | Associates In Surgical Acute Care | Surgery | 221 W. Colorado Blvd., Pavilion II, Suite 933, Dallas, TX 75208 | 2008-08-04 |
| 1194924076 | Vanessa Kiana Shifflette | Surgery | 221 W Colorado Blvd, Pav 2, Suite 425, Dallas, TX 75208-2363 | 2007-07-12 |
| Find all providers in DALLAS | ||||
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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.