MARK E KENNEDY


Address: 2200 State St, Lawrenceville, IL 62439-1852
Phone: 6189431000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL CERTIFICATION 038221 01

Other Providers MARK KENNEDY

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

Office Location

Street Address 2200 STATE ST
City LAWRENCEVILLE
State IL
Zip Code 62439-1852

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City LAWRENCEVILLE
Zip Code 62439

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Dataset Information

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.

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