Michael B Kennedy (NPI# 1427099068, PAC ID# 8820029036) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1427099068 |
| PAC ID by PECOS | 8820029036 |
| Professional Enrollment ID | I20050827000161 |
| Full Name | Michael B Kennedy |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Address |
1901 Clinch Ave Knoxville TN 37916-2307 |
| Phone Number | 8655411111 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2466364997 |
| Number of Group Practice Members | 226 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440125 | FORT SANDERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1901 Clinch Ave, Knoxville, TN 37916-2307 | 8655411111 | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| 9352 Park W Blvd, Knoxville, TN 37923-4325 | 8653731000 | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Mayer Romain Khafi | Emergency Medicine | Southeastern Emergency Physicians LLC | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 |
| Thomas C Damhoff | Emergency Medicine | Southeastern Emergency Physicians LLC | 727 Hospital Dr, Shelbyville, KY 40065-1660 |
| Daren William Cox | Emergency Medicine | Southeastern Emergency Physicians LLC | 990 Oak Ridge Turnpike, Oak Ridge, TN 37830-6976 |
| Andrew Hunter Wheeler | Emergency Medicine | Southeastern Emergency Physicians LLC | 456 Burnley Rd, Scottsville, KY 42164-6355 |
| Mary E Harkleroad | Family Medicine | Southeastern Emergency Physicians LLC | 1 Trillium Way, Corbin, KY 40701-8420 |
| Lamin Bangura | Family Medicine | Southeastern Emergency Physicians LLC | 1080 Ellington Pkwy, Lewisburg, TN 37091-2227 |
| William J Mcintyre | Emergency Medicine | Southeastern Emergency Physicians LLC | 55 Foundation Dr, Flemingsburg, KY 41041-9815 |
| Robert A Hill | Family Medicine | Southeastern Emergency Physicians LLC | 1260 University Ave, Sewanee, TN 37375-2303 |
| Shirley K Catron | Family Medicine | Southeastern Emergency Physicians LLC | 723 Old Burkesville Rd, Albany, KY 42602-1654 |
| James L Fritzsche | Emergency Medicine | Southeastern Emergency Physicians LLC | 9352 Park W Blvd, Knoxville, TN 37923-4325 |
| Street Address |
1901 CLINCH AVE |
| City | KNOXVILLE |
| State | TN |
| Zip | 37916-2307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Ray Harkey | Physician Assistant | Knoxville Heart Group, Inc. | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| Edson G Brock Ii | Emergency Medicine | Southeastern Emergency Physicians LLC | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| Archana Wadhawan | Emergency Medicine | Southeastern Emergency Physicians LLC | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| Julia A Wegryn | Physician Assistant | Knoxville Heart Group, Inc. | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| Bridgette C Ellis | Physician Assistant | Knoxville Heart Group, Inc. | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| Michelle P Mcknight | Physician Assistant | Knoxville Heart Group, Inc. | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| Caroline Swann | Physician Assistant | Knoxville Heart Group, Inc. | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| George M Krisle Iii | Cardiovascular Disease (cardiology) | Knoxville Heart Group, Inc. | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| Andrew Wong | Emergency Medicine | Southeastern Emergency Physicians LLC | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan C Brumbelow | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Tennille J Kent | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Donald T Ellenburg | Allergy/immunology | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Todd Hollibush | Nurse Practitioner | Wellness Solutions Geriatrics, Pllc | 2120 Highland Ave, Knoxville, TN 37916-1112 |
| Guy D Clark | Emergency Medicine | Revida Recovery Centers PC | 2001 Highland Ave, Knoxville, TN 37916-1217 |
| Kelly C Cooper | Preventative Medicine | Revida Recovery Centers PC | 2001 Highland Ave, Knoxville, TN 37916-1217 |
| John C Texada | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Michael R Liske | Pediatric Medicine | East Tennessee Pediatric Cardiology, P.C. | 2001 Laurel Ave, Suite 4, Knoxville, TN 37916-1810 |
| Scott A Wegryn | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Guy R Barat | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Find all physicians in zip 37916 | |||
| City | KNOXVILLE |
| Zip Code | 37916 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | KNOXVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael B 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.