JOHN MICHAEL KENNEDY (NPI# 1245613892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245613892 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL KENNEDY |
| Credential | MD |
| Practice Address |
1301 Catherine Street 4232 Med Sci I Ann Arbor MI 48109-5602 |
| Practice Telephone | 7347643270 |
| Practice Fax Number | 7346152964 |
| Mailing Telephone | 7347643270 |
| Mailing Fax Number | 7346152964 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
042.0014730 | VT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Colchester Ave, Burlington, VT 054011473 | 8028470000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1487056727 | John Kennedy | Registered Nurse | 21 Fordham St, Williston Park, NY 11596-1822 | 2014-09-18 |
| 1932480894 | John Thomas Kennedy | Counselor | 476 Skiff Mountain Rd, Kent, CT 06757-1112 | 2011-09-06 |
| 1962736835 | John Lowry Kennedy | Pharmacist | 1716 E Broad St, Statesville, NC 28625-4306 | 2009-09-25 |
| 1699948182 | John Francis Kennedy | Occupational Therapist | 11088 Brandywine Lake Way, Boynton Beach, FL 33473-4888 | 2008-04-07 |
| 1508069048 | John R Kennedy | Dentist | 3515 Mansfield Hwy, Fort Worth, TX 76119-6718 | 2007-06-11 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
| 1730395005 | John Patrick Kennedy | Chiropractor | 1280 W Peachtree St Nw, Suite 130, Atlanta, GA 30309-3445 | 2007-05-15 |
| 1841321478 | John A Kennedy | Technician/Technologist | 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 | 2007-03-07 |
| 1629113725 | John Kennedy | Chiropractor | 1951 Hoover Ct, Suite 101, Hoover, AL 35226-3606 | 2007-02-20 |
| Street Address |
1301 CATHERINE STREET 4232 MED SCI I |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306191085 | Nathan Stepanek Shaller | Pathology | 1301 Catherine Street, Ann Arbor, MI 48109-5602 | 2012-07-18 |
| 1174014872 | William Robert Perry | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 5231e Med Sci I, Ann Arbor, MI 48109-5602 | 2018-05-29 |
| 1386135077 | Catherine Elizabeth Perez | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 5231e Med Sci I, Ann Arbor, MI 48109-5602 | 2018-05-29 |
| 1487145645 | Natalia Han Gin Liu | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 5231e Med Sci I, Ann Arbor, MI 48109-4602 | 2018-05-23 |
| 1083105258 | Timothy Isaac Miller | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 5231e Med Sci I, Ann Arbor, MI 48109-5602 | 2018-05-23 |
| 1447740949 | Lauren Kroll-wheeler | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 5231e Med Sci I, Ann Arbor, MI 48109-5602 | 2018-05-10 |
| 1467941187 | Justin Tyler Kelley | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 5231e Med Sci I, Ann Arbor, MI 48109-5602 | 2018-05-08 |
| 1790274405 | Jiayun Margarite Fang | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 5231e Med Sci I, Ann Arbor, MI 48109-5602 | 2018-05-08 |
| 1588153290 | Efrain Alberto Gutierrez-lanz | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 5231e Med Sci I, Ann Arbor, MI 48109-5602 | 2018-05-08 |
| 1952755548 | Steven Burke Vannorman | Student in an Organized Health Care Education/Training Program | 1301 Catherine Street, 3232 Med Sci I, Ann Arbor, MI 48109-5602 | 2016-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1306191085 | Nathan Stepanek Shaller | Pathology | 1301 Catherine Street, Ann Arbor, MI 48109-5602 | 2012-07-18 |
| 1003050303 | Hong Cheng | Pathology | 3426 Braeburn Cir, Ann Arbor, MI 48108-2620 | 2009-04-30 |
| 1194857748 | Cynthia Hegg Krueger | Pathology | 1434 Argyle Cres, Ann Arbor, MI 48103-2503 | 2007-03-09 |
| 1295806669 | William R Hart | Pathology | 5090 Oak Tree Ct, Ann Arbor, MI 48108-8573 | 2006-11-10 |
| 1104308915 | Mattison Pathology, LLP | Pathology | 5230 S State Rd, Ann Arbor, MI 48108-7936 | 2018-08-29 |
| 1841653250 | Beena Ahsan | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-04-02 |
| 1083099055 | Teresa Nguyen | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-07-20 |
| 1457745945 | Mustafa Qays Yousif | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-03-24 |
| 1588075162 | Myra Khan | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-16 |
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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.