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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210027 | WESTERN MARYLAND REGIONAL MEDICAL CENTER |
511315 | POTOMAC VALLEY HOSPITAL |
210017 | GARRETT COUNTY MEMORIAL HOSPITAL |
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 Legal Name | TRI-STATE COMMUNITY HEALTH CENTER INC |
Physicians | 18 |
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 |
Street Address |
621 KELLY RD |
City | CUMBERLAND |
State | MD |
Zip | 21502-2878 |
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 |
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 |
City | CUMBERLAND |
Zip Code | 21502 |
Specialty | FAMILY MEDICINE |
City + Specialty | CUMBERLAND + FAMILY MEDICINE |
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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.