Michele Nmi Kennedy
TRI-STATE COMMUNITY HEALTH CENTER INC


Address: 621 Kelly Rd, Cumberland, MD 21502-2878
Phone: 3017223270

Michele Nmi Kennedy (NPI# 1275600504, PAC ID# 1153424585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1275600504
PAC ID by PECOS 1153424585
Professional Enrollment ID I20070305000765
Full Name Michele Nmi Kennedy
Organization Legal Name TRI-STATE COMMUNITY HEALTH CENTER INC
Address 621 Kelly Rd
Cumberland
MD 21502-2878
Phone Number 3017223270
Gender F
Credential DO
Medical School WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year 1989
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 9335057355
Number of Group Practice Members 21
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210027 WESTERN MARYLAND REGIONAL MEDICAL CENTER
511315 POTOMAC VALLEY HOSPITAL
210017 GARRETT COUNTY MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
621 Kelly Rd, Cumberland, MD 21502-2878 3017223270 TRI-STATE COMMUNITY HEALTH CENTER INC
130 W High St, Hancock, MD 21750-1143 3016787256 TRI-STATE COMMUNITY HEALTH CENTER INC

Organization Information

Organization Legal Name TRI-STATE COMMUNITY HEALTH CENTER INC
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Jeannette Lois Sweitzer Nurse Practitioner Tri-state Community Health Center Inc 130 W High St, Hancock, MD 21750-1143
Stephen A Hoffman Family Medicine Tri-state Community Health Center Inc 525 Fulton Dr, Mc Connellsburg, PA 17233-8061
Raymond Ernst Banfer Family Medicine Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878
Terry E Harvey Nurse Practitioner Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878
Corrine L Lamm Nurse Practitioner Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878
Janell L. Sioma Nurse Practitioner Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878
Ryan Matthew Hikes Family Medicine Tri-state Community Health Center Inc 525 Fulton Dr, Mc Connellsburg, PA 17233-8061
James Doyle Helsley Family Medicine Tri-state Community Health Center Inc 130 W High St, Hancock, MD 21750-1143
Carrie Dawn Deshong Physician Assistant Tri-state Community Health Center Inc 525 Fulton Dr, Mc Connellsburg, PA 17233-8061
Jorge R Andrade Obstetrics/gynecology Tri-state Community Health Center Inc 12502 Willowbrook Rd, Suite 550, Cumberland, MD 21502-6594

Office Location

Street Address 621 KELLY RD
City CUMBERLAND
State MD
Zip 21502-2878

Physicians in the same location

Name Specialty Organization Address
Raymond Ernst Banfer Family Medicine Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878
Terry E Harvey Nurse Practitioner Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878
Corrine L Lamm Nurse Practitioner Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878
Janell L. Sioma Nurse Practitioner Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878
Danielle Ayers Destfino Nurse Practitioner Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878
Andrew Tyler Wilcox Family Practice Tri-state Community Health Center Inc 621 Kelly Rd, Cumberland, MD 21502-2878

Physicians in the same zip code

Name Specialty Organization Address
Mary Ann Riley Internal Medicine Western Maryland Health System Corporation 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502
Leah R Kozlowski Physician Assistant Western Maryland Health System Corporation 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502
David K Moose Maxillofacial Surgery Cumberland Oral and Maxillofacial Surgery Associates LLP 1715 Frederick St, Cumberland, MD 21502-1037
Suketu I Patel Maxillofacial Surgery Cumberland Oral and Maxillofacial Surgery Associates LLP 1715 Frederick St, Cumberland, MD 21502-1037
Kenrick Hamilton Roberts Dermatology Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Daniel Brian Herring Dermatology Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Sean Leo Mccagh Dermatology Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Savannah Brown Physician Assistant Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Kaleigh Hahn Physician Assistant Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Natashia M Vanslyke Physician Assistant Mccagh and Roberts Mds Pa 100 Welton Dr, Cumberland, MD 21502-1336
Find all physicians in zip 21502

Competitor

Search similar physicians

City CUMBERLAND
Zip Code 21502
Specialty FAMILY MEDICINE
City + Specialty CUMBERLAND + FAMILY MEDICINE

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Dataset Information

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.

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