JEFFREY BRUCE KENNEDY (NPI# 1144586587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144586587 |
| Entity Type | Individual |
| Full Name | JEFFREY BRUCE KENNEDY |
| Credential | M.D. |
| Practice Address |
1145 Broadway Seattle WA 98122-4201 |
| Practice Telephone | 2066823447 |
| Practice Fax Number | 2066828219 |
| Mailing Telephone | 2066823447 |
| Mailing Fax Number | 2066828219 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2017-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD60650217 | WA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 0055122 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
MD60650217 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043589013 | Jeffrey R. Kennedy | Dentist | 1721 East Franklin Street, Chapel Hill, NC 27514 | 2011-12-21 |
| 1366889651 | Jeffrey G Kennedy | Counselor | 11440 Hamilton Ave, Suite 206, Cincinnati, OH 45231-6103 | 2013-05-28 |
| 1306148416 | Jeffrey Brant Kennedy | Chiropractor | 820 Jordan St, Shreveport, LA 71101-4518 | 2010-11-22 |
| 1235392887 | Jeffrey Robert Kennedy | Physical Therapist | 1604 1st St S, Willmar, MN 56201-4243 | 2008-07-03 |
| 1316100837 | Jeffrey Kennedy | Psychiatry & Neurology | 4860 Y St, Sacramento, Sacramento, CA 95817-2307 | 2008-07-03 |
| 1063450369 | Jeffrey S Kennedy | Internal Medicine | 25 Hackett Blvd, South Clinical Campus, 1st Floor, Albany, NY 12208 | 2006-06-02 |
| Street Address |
1145 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112107 | Hunter A Mckay | Specialist | 1145 Broadway, Seattle, WA 98122-4201 | 2005-05-23 |
| 1215420518 | Samuel Aren Bernstein Mann | Registered Nurse | 1145 Broadway, Seattle, WA 98122-4201 | 2018-06-11 |
| 1134677578 | Hilaire Jane Thompson | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2016-09-14 |
| 1285035105 | Dawn Darroch | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2014-09-10 |
| 1669808341 | Jennifer A. Carmichael | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2013-09-25 |
| 1750640868 | Jonathan Liu | Internal Medicine | 1145 Broadway, Seattle, WA 98122-4201 | 2012-05-09 |
| 1063790004 | Katherine M. Negron | Nurse Practitioner | 1145 Broadway, Seattle, WA 98122-4201 | 2011-07-25 |
| 1164712931 | Daiva Nevidomskyte | Surgery | 1145 Broadway, Seattle, WA 98122-4201 | 2011-04-14 |
| 1598054355 | Ulrik Georg Wallin | Colon & Rectal Surgery | 1145 Broadway, Seattle, WA 98122-4201 | 2011-04-01 |
| 1164749768 | Shivali Agnani Menda | Ophthalmology | 1145 Broadway, Seattle, WA 98122-4201 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 207WX0009X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Glaucoma Specialist |
| An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356737886 | Andrew Chen | Ophthalmology | 325 9th Ave, Seattle, WA 98104-2420 | 2015-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409677 | Central Washington Eye Clinic Pllc | Ophthalmology | 4011 Talbot Rd S Ste 230, Renton, WA 98055-5791 | 2020-08-31 |
| 1255631016 | Blue Mountain Eye Pllc | Ophthalmology | 1610 Penny Ln, Walla Walla, WA 99362-4477 | 2010-10-27 |
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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.