DR. CARLOS C KENNEDY (NPI# 1104841857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104841857 |
| Entity Type | Individual |
| Full Name | DR. CARLOS C KENNEDY |
| Credential | MD |
| Practice Address |
Psc 490 Box 9005 Fpo AP 96538 |
| Mailing Address |
213 Mama Sandy St Piti GU 96915-5532 |
| Practice Telephone | 6713449315 |
| Mailing Telephone | 6713449315 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 01083917A | IN | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 0101236797 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4011 Gateway Blvd Ste 100, Newburgh, IN 476308947 | 8124249291 | |
| 515 Read St, Evansville, IN 477101739 | 8124249291 |
| Street Address |
PSC 490 BOX 9005 |
| City | FPO |
| State | AP |
| Zip Code | 96538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917406 | Michael Charles King | Radiology | Psc 490, Box 7716, Fpo, AP 96538-1600 | 2006-01-23 |
| 1518345800 | Delilah Kebede | Pharmacist | Psc 490, Box 7667, Fpo, AP 96538-0490 | 2015-05-07 |
| 1851786875 | Jonathan Sual Guerrero | Physical Therapist | Psc 490, Box 7606, Fpo, AP 96538-0490 | 2015-04-06 |
| 1134519267 | Melissa Ayala-allen | Social Worker | Psc 490, Box 7607, Fpo, AP 96538-0490 | 2015-01-27 |
| 1992146120 | Joseph James Clemons | Military Health Care Provider | Psc 490, #7, Fpo, AP 96538-1600 | 2013-07-16 |
| 1023458676 | Nathan P Kerestes | Family Medicine | Psc 490, Box 7607, Fpo, AP 96538-0490 | 2013-06-27 |
| 1073953964 | Angela Nichole Szatkowski | Family Medicine | Psc 490, Box 7607, Fpo, AP 96538-0490 | 2013-06-25 |
| 1710240189 | Sebastian Wright Lara | Pediatrics | Psc 490, Fpo, AP 96538-0490 | 2012-06-20 |
| 1215040001 | Michael A. Buckley | Anesthesiology | Psc 490, Anesthesiology, Fpo, AP 96538-0490 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326471731 | Kutistia Diane Ragland | Radiologic Technologist | Psc 490 Bx 7716, Fpo, AP 96538 | 2013-08-21 |
| 1437593209 | Blaed Jacob Gerhart | Physician Assistant | 1 Farenholt St, Bldg K-1, Fpo, AP 96538 | 2013-04-24 |
| 1568658482 | Dexter Dancel Cabral | Military Health Care Provider | Psc 490 Box 7607, Fpo, AP 96538 | 2007-09-25 |
| 1770789331 | Branch Medical Clinic Guam | Clinic/Center | Building 6 Chapel Road, Santa Rita, GU 96538 | 2007-06-21 |
| 1023084738 | Leslie A Boone | Occupational Therapist | Box 9095, Fpo, AP 96538 | 2006-02-23 |
| 1093786048 | Jason Matthew Jones | Audiologist | Psc 490 Box 7732, Fpo, AP 96538 | 2006-01-29 |
| 1215917893 | Ik Jo Ahn | Anesthesiology | Psc 490, Box 9095, Fpo, AP 96538 | 2006-01-19 |
| 1841270881 | Jamie Metcalf Daut | Audiologist | Pcs 490 Box 7723, Fpo, AP 96538 | 2006-01-17 |
| 1992784052 | Donna Marie Hunter | Dietitian, Registered | Psc 490 Box 9095, Fpo, AP 96538 | 2006-01-17 |
| 1548249600 | Ethel Doreen Tomasi | Social Worker | Psc 490 Box 7704, Fpo, AP 96538 | 2006-01-16 |
| Find all providers in zip 96538 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275686263 | Joshua Paul Garland | Orthopaedic Surgery | Uss Kearsarge, Medical Department, Fpo, AE 09534 1662 | 2007-01-21 |
| 1982674974 | Frederic Sylvia | Orthopaedic Surgery | Psc 482 Box 217, Fpo, AP 96362 | 2006-01-24 |
| 1043470685 | Ryan Patrick Ponton | Orthopaedic Surgery | Psc 827 Box 1000, Fpo, AE 09617 | 2008-06-16 |
| 1033278809 | Kennett J. Moses | Orthopaedic Surgery | Psc 819 Box 18, U.S. Naval Hospital Rota, Fpo, AE 09645-0001 | 2006-12-08 |
| 1194820217 | Sonya N Waters | Orthopaedic Surgery | Psc 819, Fpo, AE 09645 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558650176 | Harold Jonathan Goldstein | Orthopaedic Surgery | 51 Mdg/sghq, Unit 2060, Apo, AP 96278-2060 | 2011-04-05 |
| 1922010834 | Duke Yim | Orthopaedic Surgery | 121 Csh, Unit 15244 Box 814, Apo, AP 96205-5244 | 2006-08-12 |
| 1649291139 | James Albert Dombrowski | Orthopaedic Surgery | Psc 76, Box 6735, Apo, AP 96319 | 2006-07-21 |
| 1356721617 | Mitchell Clark Harris | Orthopaedic Surgery | 549 Hc/bdaach, Unit 15245, Apo, AP 96271 | 2015-06-02 |
| 1912311556 | Marina Rodriguez | Orthopaedic Surgery | Bdaach/549th Hospital Center, Usag Humphreys, Building 3030, Apo, AP 96271 | 2014-06-11 |
| 1811314222 | Thomas Melton | Orthopaedic Surgery | Bdaach/549th Hc, Usag Camp Humphreys, Bldg. #3030, Apo, AP 96271 | 2014-03-24 |
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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.