COLLEEN M KENNEDY DO PC (NPI# 1497941850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497941850 |
| Entity Type | Organization |
| Organization Name | COLLEEN M KENNEDY DO PC |
| Practice Address |
305 Barclay Cir Suite 1000 Rochester Hills MI 48307-4572 |
| Practice Telephone | 2482991892 |
| Practice Fax Number | 2488532809 |
| Mailing Telephone | 2482991892 |
| Mailing Fax Number | 2488532809 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | DR. COLLEEN M KENNEDY (PHYSICIAN) |
| Authorized Official Telephone | 2482991892 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101012334 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GROUP/ORGANIZATION | 0P10800 | 01 |
| Street Address |
305 BARCLAY CIR SUITE 1000 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-4572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124220140 | Todd C Gould Do Oc | Internal Medicine | 305 Barclay Cir, Suite 1000, Rochester Hills, MI 48307-4572 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| 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 |
|---|---|---|---|---|
| 1306397518 | Amro Sheta Pllc | Family Medicine | 2043 Mapleridge Rd, Rochester Hills, MI 48309-2750 | 2016-10-24 |
| 1659787000 | Andrea Margaret Baker Milne | Family Medicine | 1135 W University Dr., Suite 250, Rochester Hills, MI 48307 | 2014-07-07 |
| 1093153553 | Danielle Ohs Carnwath | Family Medicine | 1202 Walton Blvd Ste 216, Rochester Hills, MI 48307-6917 | 2013-06-06 |
| 1912157231 | Docnow Urgent Care,pc | Family Medicine | 1701 South Boulevard East Suite 150, Rochester Hills, MI 48307 | 2008-09-23 |
| 1003084492 | Muksi, LLC | Family Medicine | 3404 Warwick Dr, Rochester Hills, MI 48309-4707 | 2008-02-19 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1114069838 | Gregg Dean Branham | Family Medicine | 2385 Ulster Rd, Rochester Hills, MI 48309-2040 | 2007-02-12 |
| 1417021213 | David Stanley Hollett | Family Medicine | 1500 Walton Blvd, Rochester Hills, MI 48309-1858 | 2006-11-20 |
| 1104909597 | Sara-harris Family Care PC | Family Medicine | 332 W. Tienken Rd., Suite B, Rochester Hills, MI 48306 | 2006-10-23 |
| 1679507669 | Ramkrishna Surendran | Family Medicine | 1349 South Rochester Road, Suite 100, Rochester Hills, MI 48307-3151 | 2006-07-10 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
Please comment or provide details below to improve the information on COLLEEN M KENNEDY DO PC.
| 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.