KENNEDI VAN EYKEN (NPI# 1073098778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073098778 |
| Entity Type | Individual |
| Full Name | KENNEDI VAN EYKEN |
| Credential | ATC/LAT |
| Practice Address |
1700 E Cold Spring Ln Baltimore MD 21251-0001 |
| Practice Telephone | 4438853333 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
A0001123 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1700 E COLD SPRING LN |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21251-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154751584 | Morgan State University Health Center | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2013-11-21 |
| 1982176673 | National Rehabilitation Hospital, Inc. | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2018-12-19 |
| 1821468349 | Daquane Ellington | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2015-09-26 |
| 1811371016 | Kaitlyn Creznic | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251 | 2015-07-17 |
| 1427456599 | Ron Cooper | Specialist/Technologist | 1700 E Cold Spring Ln, Athletics Department, Baltimore, MD 21251-0001 | 2014-12-05 |
| 1891191516 | Shanteisha Pruitt | Specialist/Technologist | 1700 E Cold Spring Ln, Hill Field House Ll119, Baltimore, MD 21251-0001 | 2014-11-06 |
| 1407258825 | Morgan State University | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2014-09-17 |
| 1043628746 | Kasey Richardson | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2014-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437438645 | Ivis Theodore Forrester | Dietitian, Registered | 3939 Reisterstown Rd, Baltimore, MD 21251 | 2011-08-05 |
| 1427207778 | Kathy H. Chan | Physician Assistant | Morgan State University, Woolford Infirmary, Baltimore, MD 21251-0001 | 2008-09-11 |
| 1164984118 | Joshua Fike | Specialist/Technologist | 1700 East Cold Spring Lane, Baltimore, MD 21251-0002 | 2019-04-01 |
| 1417174889 | Folashade R Kanimodo | Nurse Practitioner | 1700 East Cold Spring Lane University Health Center, Baltimore, MD 21251-4999 | 2007-04-19 |
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720119027 | Sameer Dixit | Internal Medicine | 4924 Campbell Blvd, Baltimore, MD 21236-5908 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750087 | Sean Michael Curtin | Internal Medicine | 658 Boulton Street, Suite B, Bel Air, MD 21014 | 2005-06-20 |
| 1568782720 | Claudia Dal Molin | Internal Medicine | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2010-06-09 |
| 1891992376 | Stephanie Renee Martin | Internal Medicine | 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054-1690 | 2007-06-28 |
| 1831265685 | David Howard Plotkin | Internal Medicine | 18111 Prince Philip Dr, Suite 304, Olney, MD 20832-1513 | 2006-11-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.