DANIEL J KENNEDY (NPI# 1093809568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093809568 |
| Entity Type | Individual |
| Full Name | DANIEL J KENNEDY |
| Credential | MD |
| Practice Address |
1637 Westshore St Davis CA 95616-2973 |
| Practice Telephone | 5307563009 |
| Mailing Telephone | 5307563009 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
G59571 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G59571 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | G59571 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G595710 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316487044 | Daniel Kennedy | Nurse Practitioner | 304 Northcreek Blvd, Suite 120, Goodlettsville, TN 37072-2096 | 2017-02-28 |
| 1073747507 | Daniel Kennedy | Counselor | 65 Meadows Dr, Glassboro, NJ 08028-2424 | 2009-05-12 |
| 1447326590 | Daniel O'neill Kennedy | Registered Nurse | 1432 Sultan Drive, Suite 100, Fort Detrick, MD 21702-5001 | 2006-11-28 |
| 1659446714 | Daniel P Kennedy | Chiropractor | 214 W 29th St, Ste# 205, New York, NY 10001-5203 | 2006-11-22 |
| 1437678166 | Daniel Patrick Kennedy | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-13 |
| 1629512900 | Daniel Kennedy | Occupational Therapist | 8559 N Line Creek Pkwy, Kansas City, MO 64154-2100 | 2016-12-06 |
| 1437560281 | Daniel Kennedy | Student in an Organized Health Care Education/Training Program | 2500 N State St, Dept of Radiology, Jackson, MS 39216-4500 | 2014-05-14 |
| 1255687174 | Daniel Michael Kennedy | Licensed Psychiatric Technician | 400 N Pepper Ave, Colton, CA 92324-1801 | 2012-07-29 |
| 1609133032 | Daniel Bernard Kennedy | Technician, Other | 7300 Klawock Hollis Highway, Klawock, AK 99925 | 2012-04-23 |
| 1518267178 | Daniel Lloyd Kennedy | Dentist | 300 Longwood Ave, Children's Hospital Boston - Department of Dentistry, Boston, MA 02115-5724 | 2010-10-29 |
| Street Address |
1637 WESTSHORE ST |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1225010622 | Marc B. Schenker | Internal Medicine | 1 Shields Ave, Tb 168, Dept Public Health Sciences, Davis, CA 95616-5270 | 2005-11-19 |
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| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
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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.