DR. KENNETH D HAWN (NPI# 1932101532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932101532 |
| Entity Type | Individual |
| Full Name | DR. KENNETH D HAWN |
| Credential | MD |
| Practice Address |
509 Hamacher St Suite 103 Waterloo IL 62298-1592 |
| Practice Telephone | 6189392273 |
| Practice Fax Number | 6189390245 |
| Mailing Telephone | 6189392273 |
| Mailing Fax Number | 6189390245 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2014-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036135043 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2003018920 | MO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | E-4451 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 157028001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205936994 | Kenneth E Hawn | Counselor | 931 Cassat Ave, Jacksonville, FL 32205-4857 | 2006-09-23 |
| Street Address |
509 HAMACHER ST SUITE 103 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-1592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053846816 | Brittney Voyda | Nurse Practitioner | 509 Hamacher St, St # 102, Waterloo, IL 62298-1592 | 2017-04-28 |
| 1851830236 | Samantha Lynn Boman | Physical Therapist | 509 Hamacher St, Suite101, Waterloo, IL 62298-1592 | 2017-02-17 |
| 1346784675 | Associated Physicians Group Ltd | Physician Assistant | 509 Hamacher St, Suite 202, Waterloo, IL 62298-1592 | 2016-12-06 |
| 1912373903 | Aaron P Henry | Physical Therapist | 509 Hamacher St, Ste 101, Waterloo, IL 62298-1592 | 2015-08-13 |
| 1992191951 | Red Bud Regional Clinic Company LLC | Family Medicine | 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 | 2015-04-07 |
| 1821489477 | Linda Peck | Specialist/Technologist | 509 Hamacher St, Waterloo, IL 62298-1592 | 2015-02-17 |
| 1568853018 | St Anthony's Physician Organization of Illinois | Obstetrics & Gynecology | 509 Hamacher St, Ste 203, Waterloo, IL 62298-1592 | 2015-02-05 |
| 1053700229 | Kerri Dockins-hall | Physical Therapist | 509 Hamacher St, Ste 101, Waterloo, IL 62298-1592 | 2015-01-12 |
| 1508286477 | Cari Stefani | Nurse Practitioner | 509 Hamacher St, Suite 103, Waterloo, IL 62298-1592 | 2014-04-18 |
| 1578984563 | Kimberly K Ott | Audiologist | 509 Hamacher St, Suite 205, Waterloo, IL 62298-1592 | 2013-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134384902 | Benjamin Harrison Davidson | Pediatrics | 2710 Saint Francis Dr., Suite 510, Waterloo, IA 50702 | 2008-07-22 |
| 1649285073 | John Charles Redenius | Pediatrics | 123 Plaza Circle, Waterloo, IA 50701-5197 | 2006-07-31 |
| 1508846007 | Angela S Townsend | Pediatrics | 2710 Saint Francis Drive Suite 510, Waterloo, IA 50702-5620 | 2006-01-19 |
| 1831174663 | Daniel Wright | Pediatrics | 2710 Saint Francis Dr Ste 510, Waterloo, IA 50702-5620 | 2005-12-14 |
| 1013313576 | Rajani Uppala | Pediatrics | 905 Franklin St, Waterloo, IA 50703-4407 | 2014-11-11 |
| 1467892042 | Kendra L Elwood | Pediatrics | 2710 Saint Francis Dr Ste 510, Waterloo, IA 50702-5620 | 2013-06-27 |
| 1922390988 | Humam Samir Alabsi | Pediatrics | 905 Franklin St, Waterloo, IA 50703-4407 | 2011-05-10 |
| 1497911838 | Mary Kathryn Bowen | Pediatrics | 905 Franklin St, Waterloo, IA 50703-4407 | 2008-08-05 |
| 1710145115 | Erica Nichole Leclair | Pediatrics | 3421 W 9th St, Waterloo, IA 50702-5401 | 2008-06-02 |
| 1649336538 | Deborah Fedge II | Pediatrics | 905 Franklin St, Waterloo, IA 50703-4407 | 2006-12-28 |
| Find all providers in WATERLOO | ||||
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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.