DR. SCOTT THOMAS OLCOTT KENNEDY (NPI# 1578726410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578726410 |
| Entity Type | Individual |
| Full Name | DR. SCOTT THOMAS OLCOTT KENNEDY |
| Credential | M.D., M.B.A. |
| Practice Address |
3801 Miranda Ave Palo Alto CA 94304-1207 |
| Practice Telephone | 6504935000 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A125423 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Pasteur Dr, Stanford, CA 943052200 | 2038438576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669954491 | Scott H Kennedy | Pharmacist | 1481 W 10th St Fl 7, Indianapolis, IN 46202-2803 | 2018-08-29 |
| 1780123356 | Scott Kennedy | Dentist | 609 Elm Avenue, Waco, TX 76704 | 2017-02-15 |
| 1922381359 | Scott Kennedy | Pharmacist | 17538 E Baker Pl, Aurora, CO 80013-4182 | 2011-09-22 |
| 1245318351 | Scott Herbert Kennedy | Internal Medicine | 3217 Coventry N, Safety Harbor, FL 34695-4808 | 2006-11-02 |
| 1255318614 | Scott Aaron Kennedy | Chiropractor | 5690 Watermelon Rd Ste 300, Northport, AL 35473 | 2005-12-28 |
| 1902881691 | Scott Wilmot Kennedy | Nurse Practitioner | 5050 Central Sarasota Pkwy, #207, Sarasota, FL 34238-7600 | 2005-12-14 |
| 1730684002 | Scott Frederick Kennedy | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2018-03-28 |
| 1861933566 | Scott Crane Kennedy | Case Manager/Care Coordinator | 2080 S E St, San Bernardino, CA 92408-2773 | 2017-03-14 |
| 1770772402 | Scott M Kennedy | Family Medicine | 633 Sunset Ln, Suite F, Culpeper, VA 22701-3942 | 2007-10-18 |
| 1033311774 | Scott Richard Kennedy | Anesthesiology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2007-06-04 |
| Street Address |
3801 MIRANDA AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405449 | John Paul Lavelle | Urology | 3801 Miranda Ave, B3-117 Bldg 100 Urology (#112), Palo Alto, CA 94304-1207 | 2005-05-27 |
| 1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
| 1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
| 1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
| 1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
| 1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245673326 | Victoria A Young | Radiology | 725 Welch Rd Rm 1854, Palo Alto, CA 94304-1601 | 2013-04-09 |
| 1548499106 | Matthew Michael Bernbeck | Radiology | 1565 Stanford Ave, Palo Alto, CA 94306-1254 | 2009-07-03 |
| 1558509166 | Kirsten Alexandra Menn | Radiology | 243 Webster St, Palo Alto, CA 94301-1236 | 2009-02-04 |
| 1699954065 | Patrick Lee | Radiology | 470 University Ave, Palo Alto, CA 94301-1812 | 2007-11-01 |
| 1578767992 | Vythao Thi Tran | Radiology | 725 Welch Rd Rm 16814, Lucile Packard Childrens Hospital Dept. of Radiology, Palo Alto, CA 94304-1601 | 2007-06-11 |
| 1699709014 | Cheryl L Futerman | Radiology | 400 Channing Ave, Palo Alto, CA 94301-2801 | 2006-07-10 |
| 1073573093 | David Robert Moon | Radiology | 409 Fulton St, Palo Alto, CA 94301-1326 | 2006-03-24 |
| 1992770770 | Lester H Lee | Radiology | 893 Fielding Dr, Palo Alto, CA 94303-3646 | 2006-02-23 |
| 1568446979 | Ashwini Mysore Zenooz | Radiology | 806 Clara Dr, Palo Alto, CA 94303-3909 | 2005-11-30 |
| 1821610718 | Andrew Cummings | Radiology | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-05-13 |
| Find all providers in PALO ALTO | ||||
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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.