KENNEDY IHEANACHO (NPI# 1174056329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174056329 |
| Entity Type | Individual |
| Full Name | KENNEDY IHEANACHO |
| Credential | MD |
| Practice Address |
211 W 13 Mile Rd Royal Oak MI 48073 |
| Mailing Address |
211 W 13 Mile Rd Royal Oak MI 48073-2561 |
| Practice Telephone | 3364551534 |
| Mailing Telephone | 3364551534 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| Street Address |
211 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045847 | Farinaz Sepahifar | Student in an Organized Health Care Education/Training Program | 701 N Stephenson Hwy Apt 101, Royal Oak, MI 48067-2147 | 2020-02-19 |
| 1851741789 | Jordan Ciuro | Student in an Organized Health Care Education/Training Program | 1130 N Campbell Rd Apt 314, Royal Oak, MI 48067-1538 | 2016-06-22 |
| 1639532260 | Jesse Yarbrough | Student in an Organized Health Care Education/Training Program | 2611 N Wilson Ave, Royal Oak, MI 48073-4226 | 2016-03-31 |
| 1629436555 | Blair Alan White | Student in an Organized Health Care Education/Training Program | 807 Fernwood Rd, Royal Oak, MI 48067-1638 | 2016-02-06 |
| 1689051674 | Ly Hoang | Student in an Organized Health Care Education/Training Program | 3601 W 13 Mile Rd Ste 420, Royal Oak, MI 48073-6712 | 2015-04-29 |
| 1003202367 | Christopher Donald Jaeger | Student in an Organized Health Care Education/Training Program | 3010 Guilford Dr, Royal Oak, MI 48073-2993 | 2015-04-13 |
| 1194119339 | Ramon Lee | Student in an Organized Health Care Education/Training Program | 3555 W 13 Mile Rd Ste Ll-20, Royal Oak, MI 48073-6710 | 2015-03-25 |
| 1508277351 | Jonathan Birchmeier | Student in an Organized Health Care Education/Training Program | 1402 Ferris Ave, Royal Oak, MI 48067-3681 | 2014-05-14 |
| 1942629274 | Annah Jean Vollstedt | Student in an Organized Health Care Education/Training Program | 3535 W 13 Mile Rd Ste 438, Royal Oak, MI 48073-6770 | 2014-04-15 |
| 1407295900 | Neelesh Kumar Anand | Student in an Organized Health Care Education/Training Program | 4004 W 13 Mile Rd Apt 29, Royal Oak, MI 48073-6621 | 2013-06-18 |
| Find all providers in ROYAL OAK | ||||
Please comment or provide details below to improve the information on KENNEDY IHEANACHO.
| 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.