Mary J Kendrick (NPI# 1114097623, PAC ID# 0042382004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1114097623 |
| PAC ID by PECOS | 0042382004 |
| Professional Enrollment ID | I20080708000422 |
| Full Name | Mary J Kendrick |
| Organization Legal Name | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Address |
3555 Olentangy River Rd Suite 4000 Columbus OH 43214-3915 |
| Phone Number | 6142682748 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7113973041 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3555 Olentangy River Rd, Suite 4000, Columbus, OH 43214-3915 | 6142682748 | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 59% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 99% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 69% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith Lauren Goodwin | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 2359 E Main St, Bexley, OH 43209-2421 |
| Tara Rower | Nurse Practitioner | Dermatologists of Southwestern Ohio, LLC | 3572 Dayton Xenia Rd, Suite 105, Beavercreek, OH 45432-2838 |
| Leigh Ann Pansch | Nurse Practitioner | Dermatologists of Southwestern Ohio, LLC | 7691 5 Mile Rd, Suite 312, Cincinnati, OH 45230-4348 |
| Shannon M Groves | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 6110 Radio Way, Mason, OH 45040-4520 |
| Phillip K Hall | Dermatology | Dermatologists of Southwestern Ohio, LLC | 45 S Stanfield Rd, Troy, OH 45373-2366 |
| Michael P Conroy | Dermatology | Dermatologists of Southwestern Ohio, LLC | 7450 Hospital Dr, Suite 370, Dublin, OH 43016-9629 |
| Thomas G Olsen | Dermatology | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Matthew James Zirwas | Dermatology | Dermatologists of Southwestern Ohio, LLC | 2065 Stringtown Rd, Grove City, OH 43123-2930 |
| Megan M Whitehouse | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 6110 Radio Way, Mason, OH 45040-4520 |
| Dominique N Hunt | Physician Assistant | Dermatologists of Southwestern Ohio, LLC | 5300 Far Hills Ave, Dayton, OH 45429-2381 |
| Street Address |
3555 OLENTANGY RIVER RD SUITE 4000 |
| City | COLUMBUS |
| State | OH |
| Zip | 43214-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sydulu G Bathini | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3984 |
| Galen B Hayek | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3984 |
| Fouzia Tariq | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3984 |
| Kevin P Mcaninch | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3984 |
| Wissam Sabbagh | Infectious Disease | Ohiohealth Corporation | 3555 Olentangy River Rd, Suite 3000, Columbus, OH 43214-3900 |
| Samatha Paladugu | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3984 |
| Jennifer Jean Miller | Nurse Practitioner | Ohiohealth Corporation | 3555 Olentangy River Rd, Suite 2001, Columbus, OH 43214-3912 |
| Olamide O Johnson | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 3555 Olentangy River Rd, Suite 1080, Columbus, OH 43214-3984 |
| Jonathan Stewart Pedrick | Physical Medicine and Rehabilitation | Physical Medicine Associates, Inc. | 3555 Olentangy River Rd, Suite 1010, Columbus, OH 43214-3901 |
| James B Fleming | Neurosurgery | Ohiohealth Corporation | 3555 Olentangy River Rd, Suite 2001, Columbus, OH 43214-3912 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vaishali Admane | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Columbus, OH 43214-1184 |
| Nikki B Piazza | Nurse Practitioner | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Suite 100, Columbus, OH 43214-1184 |
| Jillian Lee Pattison | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Columbus, OH 43214-1184 |
| Laura B Butz | Endocrinology | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Suite 100, Columbus, OH 43214-1184 |
| Leena C Kavuluri | Hospitalist | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Columbus, OH 43214-1184 |
| Annamarie Folk | Nurse Practitioner | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Columbus, OH 43214-1184 |
| Amanda R Fant | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Suite 250, Columbus, OH 43214-1184 |
| Mili Goyal | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Columbus, OH 43214-1184 |
| David Lawrence Condon | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Columbus, OH 43214-1184 |
| Aaron Michael Whipp | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 4895 Olentangy River Rd, Columbus, OH 43214-1184 |
| Find all physicians in zip 43214 | |||
| City | COLUMBUS |
| Zip Code | 43214 |
| Specialty | DERMATOLOGY |
| City + Specialty | COLUMBUS + DERMATOLOGY |
Please comment or provide details below to improve the information on Mary J Kendrick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.