James P Kennedy (NPI# 1114970357, PAC ID# 1557395258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1114970357 |
| PAC ID by PECOS | 1557395258 |
| Professional Enrollment ID | I20100325000251 |
| Full Name | James P Kennedy |
| Organization Legal Name | CRYSTAL CLINIC, INC. |
| Address |
72 5th St Se A Barberton OH 44203-4201 |
| Phone Number | 3306684040 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7214821586 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360351 | CRYSTAL CLINIC ORTHOPAEDIC CENTER |
| 360020 | SUMMA HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 72 5th St Se A, Barberton, OH 44203-4201 | 3306684040 | CRYSTAL CLINIC, INC. |
| Organization Legal Name | CRYSTAL CLINIC, INC. |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek G Cody | Plastic and Reconstructive Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Michael G Parker | Plastic and Reconstructive Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1782 |
| Mark M Musgrave | Orthopedic Surgery | Crystal Clinic, Inc. | 4975 Foote Rd, Suite 100, Medina, OH 44256-8748 |
| Ian M Gradisar | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
| Gary A Pennington | Plastic and Reconstructive Surgery | Crystal Clinic, Inc. | 72 5th St Se A, Barberton, OH 44203-4201 |
| Douglas M Ehrler | Orthopedic Surgery | Crystal Clinic, Inc. | 2007 State Route 59, Kent, OH 44240-7610 |
| Thomas J Reilly Jr. | Hand Surgery | Crystal Clinic, Inc. | 1325 Corporate Dr, A, Hudson, OH 44236-4432 |
| John W Dietrich | Hand Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
| Michael R Magoline | Orthopedic Surgery | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Curtis R Noel | Sports Medicine | Crystal Clinic, Inc. | 437 Portage Trail, Cuyahoga Falls, OH 44221-3227 |
| Street Address |
72 5TH ST SE A |
| City | BARBERTON |
| State | OH |
| Zip | 44203-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary A Pennington | Plastic and Reconstructive Surgery | Crystal Clinic, Inc. | 72 5th St Se A, Barberton, OH 44203-4201 |
| Kurtis N Stemple | Orthopedic Surgery | Crystal Clinic, Inc. | 72 5th St Se A, Barberton, OH 44203-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edmond R Hakim | Optometry | 254 Norton Ave, Barberton, OH 44203-1932 | |
| Jeremy Curtis Oller | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Paul Edward Glass | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Meghan C Wells | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Andrew Mangano | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Michael D Gromofsky | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Jordan Marolt | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Joseph V Booth | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Jennifer L Heisel-mangano | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Jennifer E Godwin | Obstetrics/gynecology | Community Health Care Inc. | 201 5th St Ne, Suite 15, Barberton, OH 44203-3017 |
| Find all physicians in zip 44203 | |||
| City | BARBERTON |
| Zip Code | 44203 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BARBERTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on James P Kennedy.
| 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.