MARK E KENNEDY (NPI# 1972707792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972707792 |
Entity Type | Individual |
Full Name | MARK E KENNEDY |
Practice Address |
2200 State St Lawrenceville IL 62439-1852 |
Practice Telephone | 6189431000 |
Mailing Telephone | 6189431000 |
Enumeration Date | 2007-06-14 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | IL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | CERTIFICATION | 038221 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831727395 | Mark Thomas Kennedy | Pharmacist | 223 S Lakeshore Dr, Lake City, MN 55041-1642 | 2020-03-31 |
1245790948 | Mark Allen Kennedy | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2019-03-20 |
1588156368 | Mark Kennedy | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2018-06-06 |
1699189845 | Mark Kennedy | Specialist/Technologist, Other | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-06-16 |
1457686636 | Mark Kennedy | Social Worker | 9445 Farnham St Ste 100, San Diego, CA 92123-1308 | 2009-10-06 |
1629257357 | Mark H Kennedy | Dentist | 5800 Ridgewood Rd, Suite 104, Jackson, MS 39211-2667 | 2007-10-30 |
1811028673 | Mark S Kennedy | Nurse Practitioner | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2007-03-07 |
1891864328 | Mark Kennedy | Counselor | 921 E Compton Blvd Fl 1, Compton, CA 90221-3303 | 2006-11-07 |
1811948599 | Mark E Kennedy | Ophthalmology | 345 Clyde Morris Blvd, Suite 330, Ormond Beach, FL 32174-3111 | 2006-05-15 |
Street Address |
2200 STATE ST |
City | LAWRENCEVILLE |
State | IL |
Zip Code | 62439-1852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194723247 | Timothy R Williams | Anesthesiology | 2200 State St, Lawrenceville, IL 62439-1852 | 2005-07-12 |
1396024162 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1899 | 2011-08-11 |
1326136383 | Midwest Ultrasound Services, Inc. | Spec/Tech, Cardiovascular | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-10-11 |
1952401374 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
1215037635 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
1386744795 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
1801996228 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
1346340775 | Lawrence County Memorial Hospital | General Acute Care Hospital | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-25 |
1629177910 | Lawrence County Memorial Hospital | Ambulance | 2200 State St, Lawrenceville, IL 62439-1852 | 2006-09-22 |
1366550055 | Lawrence County Memorial Hospital | Medicare Defined Swing Bed Unit | 2200 State St, Lawrenceville, IL 62439-1899 | 2006-08-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
Find all providers in zip 62439 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497227797 | Mustapha Timmy Issa | Nurse Anesthetist, Certified Registered | 1403 Elderberry Run Cv, Lawrenceville, GA 30043-3999 | 2018-12-26 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1528059755 | Michael Alexander Geisler | Nurse Anesthetist, Certified Registered | 1605 Lakes Pkwy, Lawrenceville, GA 30043-5858 | 2005-11-05 |
1295369205 | Janelle Denise Meadows | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-02-28 |
1306326327 | Annmarie Kathleen Bodnia | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2018-08-20 |
1578067179 | Dominique Daielle Peart | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2018-03-20 |
1750899811 | Kate Chang | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2018-01-11 |
1235645011 | Lyndsey Cole | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2017-12-15 |
1326591397 | Shabnam Samsuddin | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2016-07-26 |
1962863084 | Liliana Rascon | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2016-03-17 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 62439 |
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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.