PATRICK KENNEDY (NPI# 1720646375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720646375 |
| Entity Type | Individual |
| Full Name | PATRICK KENNEDY |
| Practice Address |
11800 E 12 Mile Rd Warren MI 48093-3472 |
| Practice Telephone | 5865735000 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704301492 | MI | Physician Assistants & Advanced Practice Nursing 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 |
| 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 |
| 1538305917 | Patrick M Kennedy | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2009-01-06 |
| 1447405675 | Patrick Kennedy | Counselor | 12021 Wilmington Ave Lot C, Los Angeles, CA 90059-3019 | 2008-12-02 |
| Street Address |
11800 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-3472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280940 | Manisha Kaur Bajwa | Pharmacist | 11800 E 12 Mile Rd, Pharmacy Department, Warren, MI 48093-3472 | 2005-07-28 |
| 1679181986 | Roxana Lionte | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-07-22 |
| 1649893355 | Patrick Yang | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-05-28 |
| 1831711936 | Elisheva Ellenberg | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-05-12 |
| 1427686716 | Pavan Kumar Ravipati | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-31 |
| 1962038885 | Natasha Mehta | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-23 |
| 1194350645 | Katherine Sara Streidl | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-05 |
| 1891326898 | Clara Poparad-stezar | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-01-28 |
| 1023653797 | Lauren Ashley Shailor | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-11-16 |
| 1700428984 | Olivia Lynn Hedman | Dietitian, Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083261911 | Megan C Mccarthy | Nurse Practitioner | 18 Pinewood Ln, Warren, NJ 07059-6861 | 2019-08-26 |
| 1205187275 | Wan-ju Wu | Nurse Practitioner | 14359 E 12 Mile Rd Apt C, Warren, MI 48088-3854 | 2012-09-30 |
| 1114256302 | Michele Dawn Mcmahon | Nurse Practitioner | 32060 Linderman Ave, Warren, MI 48093-1048 | 2009-12-17 |
| 1023653797 | Lauren Ashley Shailor | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-11-16 |
| 1205307261 | Shannon Marie Luther | Nurse Practitioner | 627 Eastland Ave Se, Warren, OH 44484-4501 | 2018-12-16 |
| 1619492774 | Jeffrey L. Kaiser | Nurse Practitioner | 1350 E Market St, Warren, OH 44483-6608 | 2017-08-10 |
| 1205234341 | Heather Mason | Nurse Practitioner | 1350 E Market St, Warren, OH 44483-6608 | 2014-12-05 |
| 1598012767 | Laurie A Merkel | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2012-08-07 |
| 1811219140 | Ethel Balaoing Howell | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2010-03-01 |
| 1578885687 | Benjamin Doppelt | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2010-02-17 |
| Find all providers in WARREN | ||||
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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.