DR. KENNETH J PHENOW (NPI# 1174144653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174144653 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J PHENOW |
| Credential | MD, MPH |
| Practice Address |
9800 Rodden Rd Oakdale CA 95361-9593 |
| Practice Telephone | 3362026826 |
| Mailing Telephone | 3362026826 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G145614 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
9800 RODDEN RD |
| City | OAKDALE |
| State | CA |
| Zip Code | 95361-9593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453190 | Janet Kennedy Barretta | Marriage & Family Therapist | 210 South Sierra Suite 209 Serenity Heart Counseling Se, Oakdale, CA 95361 | 2014-10-23 |
| 1629483946 | Gina Maria Womack | Physical Therapy Assistant | 1570 E. F Street # N, Oakdale, CA 95361 | 2014-06-25 |
| 1457636946 | Eugene Awuah | Pharmacist | 2048 Royal Ascot Way, Oakdale, CA 95361 | 2011-10-15 |
| 1679852669 | Shiow-yan Chen | Pharmacist | 1449 East F Street Suite 102, Oakdale, CA 95361 | 2011-08-09 |
| 1659592475 | David Michael Meyers | Chiropractor | 715 West F Street, Oakdale, CA 95361 | 2007-05-01 |
| 1043372691 | Joanne Mccartney | Nurse Practitioner | 700 Laurel Avenue, Oakdale, CA 95361 | 2006-12-13 |
| 1457445587 | Suzanne Streater | Marriage & Family Therapist | 145 North Second Avenue, Suite 8, Oakdale, CA 95361 | 2006-10-03 |
| 1689786972 | Christina Louise Tourtlotte | Dentist | 1473 East G St, Ste C, Oakdale, CA 95361 | 2006-08-31 |
| 1750395042 | Janet R Busic | Psychologist | 7248 Gold Run Dr, Oakdale, CA 95361 | 2006-07-29 |
| 1609807346 | Consuelos S. Dizon | Anesthesiology | Oak Valley Hospital, 350 South Oak Ave., Oakdale, CA 95361 | 2006-07-05 |
| Find all providers in zip 95361 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700206109 | Jennifer Elizabeth Robinson | Family Medicine | 1099 Helmo Ave N Ste 100, Oakdale, MN 55128-6034 | 2014-04-24 |
| 1194014365 | Maried Esther Celkis | Family Medicine | 7400 33rd St N, Oakdale, MN 55128-3632 | 2011-03-28 |
| 1932379914 | Sunrise Family Medical, PC | Family Medicine | 4568 Sunrise Hwy, Oakdale, NY 11769-1012 | 2008-03-06 |
| 1356475347 | Gretchen G Webb-kummer | Family Medicine | 1425 West H St, Ste 200, Oakdale, CA 95361-3590 | 2007-03-14 |
| 1346219649 | Sylvia Sonnier Crawford | Family Medicine | 124 S 13th St Bldg 2, Oakdale, LA 71463-2935 | 2006-03-17 |
| 1821067570 | Herbert Aldon Nesom Jr. | Family Medicine | 400 E 6th Ave, Oakdale, LA 71463-2628 | 2006-03-15 |
| 1699153551 | Justine Trumm | Family Medicine | 1099 Helmo Ave N Ste 100, Oakdale, MN 55128-6034 | 2015-05-12 |
| 1518344506 | Oakdale Physical Medicine, Inc | Family Medicine | 1449 E F St, Ste. 105-a, Oakdale, CA 95361-9265 | 2015-04-29 |
| 1821240557 | David Lyle Haglund | Family Medicine | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6033 | 2008-10-13 |
| 1639367477 | Rapides Regional Physician Group Primary Care, LLC | Family Medicine | 400 E 6th Ave, Oakdale, LA 71463-2628 | 2007-10-05 |
| Find all providers in OAKDALE | ||||
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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.