DR. PATRICK M KENNEDY (NPI# 1538305917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538305917 |
| Entity Type | Individual |
| Full Name | DR. PATRICK M KENNEDY |
| Credential | DDS |
| Practice Address |
305 W 12th Ave Columbus OH 43210-1267 |
| Mailing Address |
6641 N. High Street Suite 105 Worthington OH 43085 |
| Practice Telephone | 6142925144 |
| Mailing Telephone | 6148853339 |
| Mailing Fax Number | 6148851011 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2015-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30.022998 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831410653 | Patrick Kennedy | Dentist | 3312 Hudson Ave Apt 7j, Union City, NJ 07087-5967 | 2010-06-15 |
| 1033181797 | Patrick R Kennedy | Dentist | 2529 W Emory Rd, Powell, TN 37849-3712 | 2006-02-06 |
| 1033746128 | Patrick Joseph Kennedy | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2020-03-26 |
| 1720646375 | Patrick Kennedy | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-05-30 |
| 1790149862 | Patrick Kennedy Jr. | Otolaryngology | 222 Piedmont Ave, Suite 5200, Cincinnati, OH 45219-4231 | 2016-04-05 |
| 1346629201 | Patrick James Kennedy | Anesthesiology | 3471 5th Ave, Suite 910, Pittsburgh, PA 15213-3215 | 2015-05-26 |
| 1689069577 | Patrick Kennedy | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2015-03-30 |
| 1598150344 | Patrick Randall Kennedy | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2015-03-30 |
| 1104069012 | Patrick Kennedy | Chiropractor | 112 W Jefferson Ave, Suite 128, Kirkwood, MO 63122-4062 | 2009-04-08 |
| 1447405675 | Patrick Kennedy | Counselor | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2008-12-02 |
| Street Address |
305 W 12TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861478398 | Mark G. Hochberg | Dentist | 305 W 12th Ave, Columbus, OH 43210 | 2005-12-16 |
| 1487271615 | Bilal Ibrahim | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-07-04 |
| 1023634474 | Bryce Woolsey | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-22 |
| 1578189189 | Michael Baily | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-19 |
| 1508481474 | Spencer Ross Bense | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1326663279 | Claire Elizabeth Sesson | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1669097523 | Rebecca Hermel | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1356966212 | Arsen Melkonyan | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1730705666 | Hannah Chase | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1407470511 | Katelyn Hornbuckle Conley | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1497140719 | Chelsea Elizabeth Johnson | Dentist | 4405 N Stadium Dr Ste A, Columbus, GA 31909-1884 | 2015-04-02 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1316176944 | Hany Emam | Dentist | 305 W 12th Ave Rm 2110, Columbus, OH 43210-1267 | 2009-07-02 |
| 1720222607 | Matthew Mcdonough | Dentist | 1501 Hilliard Rome Rd, Suite E, Columbus, OH 43228-9544 | 2009-04-23 |
| 1033389382 | Oral & Facial Surgery for Adults & Children LLC | Dentist | 1161 Bethel Rd Suite 303, Columbus, OH 43220-2775 | 2008-03-03 |
| 1003023870 | Columbus Oral & Maxillofacial Surgery PC | Dentist | 4405 N Stadium Dr, Suite A, Columbus, GA 31909-1878 | 2007-05-17 |
| 1629199526 | Rob S. Steiner | Dentist | 5350 E Main St, Columbus, OH 43213-2590 | 2007-04-02 |
| 1104982065 | William Frederick Schultz Jr. | Dentist | 2350 N Park Dr, Columbus, IN 47203-4466 | 2006-12-28 |
| 1437215308 | Phillip T Latham | Dentist | 4488 W Broad St, Columbus, OH 43228-5610 | 2006-12-28 |
| Find all providers in COLUMBUS | ||||
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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.