MR. MICHAEL D KENNEDY (NPI# 1972599678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972599678 |
Entity Type | Individual |
Full Name | MR. MICHAEL D KENNEDY |
Credential | PA C |
Practice Address |
86 Thomas Johnson Ct Frederick MD 21702-4348 |
Practice Telephone | 3016948311 |
Mailing Telephone | 3016948311 |
Enumeration Date | 2005-09-27 |
Last Update Date | 2020-06-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0002738 | MD | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992047427 | Michael W Kennedy | General Practice | 6686 Eagle Crossing Blvd, Brownsburg, IN 46112-7420 | 2013-03-22 |
1861732760 | Michael Kennedy | Social Worker | 865 Memorial Pkwy, Phillipsburg, NJ 08865-2730 | 2013-03-01 |
1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
1558507749 | Michael Patrick Kennedy | Registered Nurse | 11310 Huron St Ste 100, Northglenn, CO 80234-3090 | 2008-12-18 |
1861678435 | Michael George Kennedy | Social Worker | 1290 W 8th Pl, Suite A, Yuma, AZ 85364-3621 | 2008-01-14 |
1992985550 | Michael Arthur Kennedy | Preventive Medicine | 62 N. Chapel St, #100, Physicians Group, LLC, Newark, DE 19711-2238 | 2007-11-11 |
1639358088 | Michael John Kennedy | Chiropractor | 12105 41st Ave N, Apt 118, Plymouth, MN 55441-1200 | 2007-11-01 |
1588879043 | Michael Thomas Kennedy | Surgery | 28144 El Montanero, Laguna Niguel, CA 92677-7545 | 2007-05-10 |
1245361815 | Michael C Kennedy | Chiropractor | 3580 Rte 281, Cortland, NY 13045 | 2007-03-08 |
1245391473 | Michael Arthur Kennedy | Physician Assistant | 111 E Hwy 120, Ste. 104, Pottsboro, TX 75076-3008 | 2006-12-12 |
Street Address |
86 THOMAS JOHNSON CT |
City | FREDERICK |
State | MD |
Zip Code | 21702-4348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457962219 | Jamie Lynn Russell | Physical Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2020-08-13 |
1053970335 | Lucas Lin Chang | Physical Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2019-06-10 |
1417469883 | Mackenzie Renee Frazier | Occupational Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2017-10-25 |
1619486701 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 86 Thomas Johnson Ct, Frederick, MD 21702 | 2017-09-21 |
1124547468 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 86 Thomas Johnson Ct, Frederick, MD 21702 | 2017-09-19 |
1104345719 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2017-09-14 |
1578087276 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702 | 2017-08-03 |
1215451919 | Centers for Advanced Orthopaedics, LLC | Chiropractor | 86 Thomas Johnson Ct, Frederick, MD 21702 | 2017-08-03 |
1962950196 | Megan Willis | Physical Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2016-09-16 |
1497105621 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 86 Thomas Johnson Ct, Frederick, MD 21702 | 2016-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
Find all providers in zip 21702 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295250728 | Laura York | Physician Assistant | 81 Thomas Johnson Ct Ste A, Frederick, MD 21702-4674 | 2017-08-05 |
1063892503 | Mitchel Eh Sicard | Physician Assistant | 5257 Buckeystown Pike, #244, Frederick, MD 21704-7535 | 2015-05-30 |
1275792095 | Rommie Navylia Abele | Physician Assistant | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2008-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
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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.