MAURA J KENNEDY (NPI# 1093821993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093821993 |
| Entity Type | Individual |
| Full Name | MAURA J KENNEDY |
| Credential | MD |
| Practice Address |
832 Princeton Ave Sw Birmingham AL 35211 |
| Mailing Address |
Po Box 12366 Birmingham AL 35202-2366 |
| Practice Telephone | 2052068450 |
| Practice Fax Number | 2053974924 |
| Mailing Telephone | 2057807101 |
| Mailing Fax Number | 2052068338 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
00019186 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF AL | 511-03712 | 01 |
| AL | 1093821993 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063979326 | Maura E Kennedy | Specialist/Technologist | 1105 Sunset Ave, Manhattan, KS 66502-3739 | 2019-02-22 |
| 1396985370 | Maura Kennedy | Emergency Medicine | 1 Deaconess Rd, Department Emergency Medicine W/cc-2, Boston, MA 02215-5321 | 2009-03-03 |
| Street Address |
832 PRINCETON AVE SW |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891778023 | Rudolph M Navari | Internal Medicine | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2005-11-22 |
| 1013544196 | Sandra Delores Collins | Advanced Practice Midwife | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2020-03-26 |
| 1508498486 | Morgan White | Physical Therapist | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2020-02-07 |
| 1417594110 | Fyzical Princeton, LLC | Physical Therapist | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2019-12-02 |
| 1588158877 | Samantha Diane Williams | Nurse Practitioner | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2018-06-19 |
| 1609374495 | Hamilton Joy Yarbrough | Advanced Practice Midwife | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2018-01-26 |
| 1710403779 | Alexandria Taylor Crumpton | Nurse Practitioner | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2017-08-21 |
| 1780100776 | Bevin Lyle Ellenberg | Nurse Practitioner | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2017-08-21 |
| 1346774866 | Meghan Golson | Nurse Practitioner | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2017-04-12 |
| 1407389034 | Benjamin Dominic Breazile | Internal Medicine | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1154732436 | Marcum Collins | Internal Medicine | The Whitaker Clinic of Uab Hospital, 500 22nd Street South, Birmingham, AL 35233-3110 | 2014-05-08 |
| 1215114004 | Mclain Medical Assoc PC | Internal Medicine | 2022 Brookwood Medical Assoc PC, 2022, Birmingham, AL 35209-6807 | 2008-01-24 |
| 1750472957 | D John Mountz | Internal Medicine | 1825 University Blvd, Shelby Bldg., Suite 301, Birmingham, AL 35294-0001 | 2006-09-27 |
| 1225001449 | Gene Lee Watterson Jr. | Internal Medicine | 1801 Gadsden Hwy, Birmingham, AL 35235-3134 | 2006-02-08 |
| 1417932849 | Peter Anthony Saway | Internal Medicine | 2145 Highland Ave S, Ste 200, Birmingham, AL 35205-4006 | 2005-12-08 |
| 1689659021 | Joel Douglas Abbott | Internal Medicine | 2145 Highland Avenue South, Suite 200, Birmingham, AL 35205-4006 | 2005-12-08 |
| 1083053813 | Amanda D Schnell | Internal Medicine | 625 19th St S, Birmingham, AL 35233-1900 | 2013-06-14 |
| 1821432402 | Thao Nguyen N Tran | Internal Medicine | 833 Saint Vincents Dr, Birmingham, AL 35205 | 2013-04-25 |
| 1336439595 | Matthew B Mullen | Internal Medicine | 619 19th St S, Birmingham, AL 35249 | 2011-04-08 |
| 1841425451 | Rheumatology Care Center LLC | Internal Medicine | 2022 Brookwood Medical Ctr Dr, Suite 207, Birmingham, AL 35209-6808 | 2009-05-27 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
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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.