Susan M Kennedy (NPI# 1720095276, PAC ID# 9739217266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720095276 |
| PAC ID by PECOS | 9739217266 |
| Professional Enrollment ID | I20100504000639 |
| Full Name | Susan M Kennedy |
| Organization Legal Name | PRIMARY HEALTH CARE, INC. |
| Address |
250 Laurel St Des Moines IA 50314-3024 |
| Phone Number | 5156434610 |
| Gender | F |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426966755 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160083 | MERCY MEDICAL CENTER-DES MOINES |
| Address | Phone | Organization |
|---|---|---|
| 2353 Se14th St, Des Moines, IA 50320-1109 | 5152481400 | PRIMARY HEALTH CARE, INC. |
| 250 Laurel St, Des Moines, IA 50314-3024 | 5156434610 | PRIMARY HEALTH CARE, INC. |
| Organization Legal Name | PRIMARY HEALTH CARE, INC. |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April Winters | Family Medicine | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| George M Gura Iii | Internal Medicine | Primary Health Care, Inc. | 412 E Church St, Marshalltown, IA 50158-2947 |
| Sara E Kuhn | Nurse Practitioner | Primary Health Care, Inc. | 1200 University Ave, Suite 120, Des Moines, IA 50314-2355 |
| Carl D Markley | Nurse Practitioner | Primary Health Care, Inc. | 3510 Lincoln Way, Ames, IA 50014-7533 |
| Dijana Dugalic | Clinical Social Worker | Primary Health Care, Inc. | 1420 Mulberry St, Des Moines, IA 50309-3618 |
| Michael D Sargent | Family Medicine | Primary Health Care, Inc. | 250 Laurel St, Des Moines, IA 50314-3024 |
| Alan Randal Bollinger | Family Medicine | Primary Health Care, Inc. | 3509 E 29th St, Des Moines, IA 50317-4253 |
| Heidi R Shreck | Pediatric Medicine | Primary Health Care, Inc. | 1800 Grand Ave, Des Moines, IA 50309-3310 |
| Elizabeth N Mccurdy | Family Medicine | Primary Health Care, Inc. | 3510 Lincoln Way, Ames, IA 50014-7533 |
| Noreen Ellen Oshea | Family Medicine | Primary Health Care, Inc. | 2353 Se14th St, Des Moines, IA 50320-1109 |
| Street Address |
250 LAUREL ST |
| City | DES MOINES |
| State | IA |
| Zip | 50314-3024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Sargent | Family Medicine | Primary Health Care, Inc. | 250 Laurel St, Des Moines, IA 50314-3024 |
| Sharon L Bertroche | Family Medicine | Primary Health Care, Inc. | 250 Laurel St, Des Moines, IA 50314-3024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn M Hall | Psychologist, Clinical | 654 19th St, Apt 2, Des Moines, IA 50314-1100 | |
| Victoria Lynne Campbell | Nurse Practitioner | 1907 Carpenter Ave, Des Moines, IA 50314-1310 | |
| Edward G Jones | Family Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Brahmananda P Makkapati | Psychiatry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Jillian J Grund | Certified Registered Nurse Anesthetist (crna) | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Lorie A Montag | Pathology | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Julie A Schuck | Nurse Practitioner | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Monique P Root | Optometry | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Mohammad S Iqbal | Pain Management | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Nicholas Joseph Galioto | Family Medicine | Broadlawns Medical Center | 1801 Hickman Rd, Des Moines, IA 50314-1505 |
| Find all physicians in zip 50314 | |||
| City | DES MOINES |
| Zip Code | 50314 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DES MOINES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Susan M 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.