DR. JEANNIE M KENKARE (NPI# 1245203231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245203231 |
| Entity Type | Individual |
| Full Name | DR. JEANNIE M KENKARE |
| Other Name | JEANNIE MODY |
| Credential | DO |
| Practice Address |
31 Old Route 7 Brookfield CT 06804-1711 |
| Practice Telephone | 2038850808 |
| Practice Fax Number | 2038850813 |
| Mailing Telephone | 2038850808 |
| Mailing Fax Number | 2038850813 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2017-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 042010 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001420108 | 05 |
| Street Address |
31 OLD ROUTE 7 |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011457 | Larry Stephen Wasser | Internal Medicine | 31 Old Route 7, Ste 1a, Brookfield, CT 06804-1714 | 2005-08-23 |
| 1588262398 | Brooke Pawlak | Physical Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2020-10-14 |
| 1194204644 | Amara Primary Care LLC | Family Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2018-08-07 |
| 1992231880 | Siem Brinn | Massage Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-05-11 |
| 1487188892 | Edinam Akwasi Cudjoe | General Acute Care Hospital | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-04-13 |
| 1154866879 | Urgent Care Medical of New York, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-01-04 |
| 1336519537 | Urgent Care of Waterbury, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2015-09-30 |
| 1043651003 | Kimberly Carr | Nurse Practitioner | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-07-07 |
| 1790129039 | Orthoconnecticut, PC | Orthopaedic Surgery | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-04-17 |
| 1538415286 | Bruce Kistopher Roff | Acupuncturist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| 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 |
|---|---|---|---|---|
| 1831464643 | Associates In Family Practice | Family Medicine | 246 Federal Rd Ste D12, Brookfield, CT 06804-2648 | 2012-03-12 |
| 1790937340 | James Herbert Zellmer | Family Medicine | 3145 Old Lantern Dr, Brookfield, WI 53005-3021 | 2008-10-15 |
| 1104081256 | Hendrik Leering | Family Medicine | 2885 N River Birch Dr, Unit D, Brookfield, WI 53045-3118 | 2008-07-28 |
| 1457562944 | James C Gariti | Family Medicine | 245 S Executive Dr, Suite 350, Brookfield, WI 53005-4204 | 2007-05-25 |
| 1306972112 | George Tomecki | Family Medicine | 8905 Burlington Ave, Brookfield, IL 60513 | 2007-02-26 |
| 1033212279 | Brian Kevin Knowles | Family Medicine | 624 W. Lockling St, Brookfield, MO 64628-2336 | 2006-09-06 |
| 1568480341 | Shani Vaturi | Family Medicine | 7264 Warren Sharon Rd, Brookfield, OH 44403-9665 | 2006-07-18 |
| 1457323099 | Mark A. Dorow | Family Medicine | 2085 N Calhoun Rd, Brookfield, WI 53005-5003 | 2006-02-07 |
| 1134192677 | Erin J. Trampe | Family Medicine | 2085 N. Calhoun Road, Prohealth Care Medical Associates, Brookfield, WI 53005 | 2006-02-07 |
| 1548240054 | Michael R Crist | Family Medicine | 814 Fairlane Dr, Brookfield, MO 64628-2318 | 2006-01-19 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
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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.