DR. KENNETH LAURON ABBOTT (NPI# 1306976949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306976949 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LAURON ABBOTT |
| Credential | M.D. |
| Practice Address |
110 Hospital Rd Suite 110 Prince Frederick MD 20678-4019 |
| Practice Telephone | 4105358390 |
| Practice Fax Number | 4101417458 |
| Mailing Telephone | 4105358390 |
| Mailing Fax Number | 4101417458 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
D56024 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 483400300 | 05 | |
| MEDICARE RAILROAD | 830007961 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609028844 | Kenneth G. Abbott | Physical Therapist | 6598 Buttercup Dr Unit 1, Wellington, CO 80549-2289 | 2008-10-21 |
| 1770664138 | Kenneth W Abbott | Ophthalmology | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | 2006-10-18 |
| Street Address |
110 HOSPITAL RD SUITE 110 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296407 | Mara J Daidone | Otolaryngology | 110 Hospital Rd, Suite 304, Prince Frederick, MD 20678-4019 | 2005-06-28 |
| 1497381586 | Ashly Gray | Nurse Practitioner | 110 Hospital Rd, Prince Frederick, MD 20678-4019 | 2020-03-20 |
| 1619329653 | Sita M Pfalz | Nurse Practitioner | 110 Hospital Rd, Suite 214, Prince Frederick, MD 20678-4019 | 2016-07-01 |
| 1376936823 | Calvert Internal Medicine Group, Pa | Nurse Practitioner | 110 Hospital Rd, Suite 310, Prince Frederick, MD 20678-4019 | 2015-03-09 |
| 1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
| 1700215431 | Samantha L Keiter | Physician Assistant | 110 Hospital Rd, Suite 310, Prince Frederick, MD 20678-4019 | 2013-11-04 |
| 1245668060 | Soffer Foot and Ankle Care, LLC | Clinic/Center | 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678-4019 | 2013-10-15 |
| 1518303742 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 110 Hospital Rd, Ste 203, Prince Frederick, MD 20678-4019 | 2013-05-15 |
| 1144501008 | Kanayo Ekeada | Pharmacist | 110 Hospital Rd, Suite 100, Prince Frederick, MD 20678-4019 | 2011-09-06 |
| 1528361987 | Mukesh N Mathur,md,pa. | Internal Medicine | 110 Hospital Rd, Suite-305, Prince Frederick, MD 20678-4019 | 2010-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093984411 | Bilal Ahmed | Internal Medicine | 110 Hospital Rd, Suite 105, Prince Frederick, MD 20678-4019 | 2008-02-29 |
| 1326228560 | Kenneth L Abbott Md Pa | Internal Medicine | 110 Hospital Rd, Suite 110, Prince Frederick, MD 20678-4019 | 2007-11-05 |
| 1356395388 | Arati Chepur Patel | Internal Medicine | 110 Hospital Rd, Ste 105, Prince Frederick, MD 20678 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908749 | Daniel Da Motta Girardi | Internal Medicine | National Institutes of Health (nih) Campus, Bethesda, MD 20892-0001 | 2019-12-06 |
| 1255894879 | Rcca Md LLC | Internal Medicine | 9715 Medical Center Dr Ste 221, Rockville, MD 20850-6319 | 2019-04-10 |
| 1720573132 | Mid-atlantic Oncology Hematology, LLC | Internal Medicine | 12210 Plum Orchard Dr Ste 211, Silver Spring, MD 20904-7913 | 2018-06-27 |
| 1417463951 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
| 1205371135 | Giovanni Melillo | Internal Medicine | 2554 Bear Den Rd, Frederick, MD 21701-5230 | 2017-01-02 |
| 1598217473 | Jong-hoon Lee | Internal Medicine | 10905 Lamplighter Ln, Potomac, MD 20854-2782 | 2016-10-26 |
| 1467800367 | Rcca Md LLC | Internal Medicine | 18111 Prince Philip Dr Ste 327, Olney, MD 20832-1507 | 2016-06-01 |
| 1598179962 | Ronald Gress | Internal Medicine | 10 Crc3 3330, Nih, Bethesda, MD 20892-0001 | 2014-06-13 |
| 1861827586 | Timothy C Meeker | Internal Medicine | 11133 Post House Ct, Potomac, MD 20854-2535 | 2013-09-12 |
| 1750622361 | Johannes Blom | Internal Medicine | 4136 Cadle Creek Rd, Edgewater, MD 21037-4529 | 2013-03-06 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.