JAMES M. KENNEDY JR. (NPI# 1558345066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558345066 |
| Entity Type | Individual |
| Full Name | JAMES M. KENNEDY JR. |
| Credential | MD |
| Practice Address |
25 Northridge Ln Lexington VA 24450-3399 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 5404648700 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2018-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | L5008 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 161229312 | 05 | |
| TX | 161229302 | 05 | |
| TX | 161229307 | 05 | |
| TX | 161229304 | 05 | |
| TX | 161229305 | 05 | |
| TX | 161229308 | 05 | |
| TX | 161229309 | 05 | |
| TX | 161229301 | 05 | |
| TX | 161229311 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8U7228 | 01 |
| TX | 161229303 | 05 | |
| TX | 161229310 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6300 Harry Hines Blvd Ste 110, Pediatrics Primary Care Clinic, Dallas, TX 752355259 | 2142660100 | 2142660113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661505 | James Kennedy | Chiropractor | 15100 Washington St Ste 102, Haymarket, VA 20169-4919 | 2018-08-29 |
| 1710194147 | James Stephen Kennedy | Internal Medicine | 110 Frances King Dr, Smyrna, TN 37167-5352 | 2007-05-16 |
| 1245442227 | James Allen Kennedy II | Counselor | 10700 State Bridge Rd, Johns Creek, GA 30022-7491 | 2007-05-04 |
| 1447373071 | James Edward Kennedy | Dentist | 910 Williston Park Pt Ste 1050, Lake Mary, FL 32746-2107 | 2007-04-09 |
| 1477632453 | James R Kennedy | Psychiatry & Neurology | 327 College Ave, Santa Rosa, CA 95401-5117 | 2006-11-02 |
| 1194811711 | James Allen Kennedy | Psychiatry & Neurology | 88 Lincoln St, Framingham, MA 01702-6354 | 2006-10-04 |
| 1275626178 | James Douglas Kennedy | Chiropractor | 13348 Poway Rd, Poway, CA 92064-4626 | 2006-10-02 |
| 1063422392 | James P Kennedy | Dentist | 9408 47th St, Brookfield, IL 60513-2235 | 2006-08-09 |
| 1558375626 | James P Kennedy | Dentist | 2784 N Decatur Rd, Ste 110, Decatur, GA 30033-5903 | 2006-07-27 |
| 1306889209 | James F Kennedy | Chiropractor | 21321 Harper Ave, Saint Clair Shores, MI 48080-2224 | 2006-06-14 |
| Street Address |
25 NORTHRIDGE LN |
| City | LEXINGTON |
| State | VA |
| Zip Code | 24450-3399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971531 | Kathleen Carew Lamontagne | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2020-08-05 |
| 1528620374 | Denise Oinonen | Social Worker | 25 Northridge Ln, Lexington, VA 24450-3399 | 2019-07-02 |
| 1992369417 | Jeremy Ray Lovelace | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2019-04-30 |
| 1649757691 | Hamzeh Al Qublan | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2018-07-23 |
| 1619409166 | Bethany Ellen Elza | Family Medicine | 25 Northridge Ln, Lexington, VA 24450-3399 | 2017-04-03 |
| 1366864563 | Zachary Ross Taylor | Counselor | 25 Northridge Ln, Lexington, VA 24450-3399 | 2014-01-08 |
| 1205267002 | Rockbridge Area Free Clinic | Clinic/Center | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-12-03 |
| 1821424698 | Helen Knight Farrar | Social Worker | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-09-24 |
| 1629319694 | Jamie Chapman Clark | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-03-15 |
| 1295090892 | Erin Farabaugh Cassilly | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2012-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
| 1598213340 | Elizabeth Larock | Contractor | 712 N. Main Street, Lexington, VA 24450 | 2016-09-21 |
| 1861872343 | Dominique Boone Tarber | Psychologist | 309 Letcher Avenue, Virginia Military Institute, Lexington, VA 24450 | 2015-06-01 |
| 1407254147 | Americare Plus, LLC. | In Home Supportive Care | 155 South Main Street, Lexington, VA 24450 | 2014-12-11 |
| 1710242219 | Matthew Earle Bryant | Family Medicine | 146 S Main St Ste 3, Lexington, VA 24450 | 2012-07-10 |
| 1861778391 | Marco Giuliani | Specialist/Technologist | 508 Brooke Lane, Clarkson-mckenna Hall, Lexington, VA 24450 | 2011-10-28 |
| 1356668552 | Chad Joseph Kelland | Psychologist | 129 S Randolph St Ste 1, Lexington, VA 24450 | 2010-04-27 |
| 1972744779 | Kelly Lynne Mcmullen | Specialist/Technologist | 215 Cameron Hall, Virginia Military Institute, Lexington, VA 24450 | 2009-03-09 |
| 1669621835 | Rebecca Lowry | Specialist/Technologist | 200 Washington Ave, Lexington, VA 24450 | 2008-09-12 |
| 1205929114 | Scott Brian Dubit | Family Medicine | 650 N. Lee Highway, Suite 2, Lexington, VA 24450 | 2006-10-02 |
| Find all providers in zip 24450 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| 1497117667 | Frances Michelle Curran | Pediatrics | 800 Rose St Rm Mn-118, Lexington, KY 40536-0298 | 2016-03-25 |
| 1073995908 | John Stone | Pediatrics | Pediatric Residency Program Uk 800 Rose St, Mn472, Lexington, KY 40536-0293 | 2015-06-27 |
| 1346621042 | Nina Azer Salfity | Pediatrics | 800 Rose St Rm Mn-472, Lexington, KY 40536-0293 | 2015-06-18 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1235525957 | Carl Wayne Dowden | Pediatrics | 740 S Limestone Ste J201, Lexington, KY 40536-7001 | 2015-04-09 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1184030983 | Anna Caitlynn Iddings | Pediatrics | 800 Rose Street Mn118, Lexington, KY 40536-0001 | 2014-07-01 |
| Find all providers in LEXINGTON | ||||
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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.