KENNETH W ABBOTT (NPI# 1770664138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770664138 |
| Entity Type | Individual |
| Full Name | KENNETH W ABBOTT |
| Credential | MD |
| Practice Address |
2222 W Lexington Ave Elkhart IN 46514-1420 |
| Mailing Address |
Po Box 2968 Elkhart IN 46515-2968 |
| Practice Telephone | 5742943030 |
| Practice Fax Number | 5742943544 |
| Mailing Telephone | 5742963200 |
| Mailing Fax Number | 5742963544 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0102595A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100112470 | 05 | |
| IN | RAILROAD MEDICARE | 180041763 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609028844 | Kenneth G. Abbott | Physical Therapist | 6598 Buttercup Dr Unit 1, Wellington, CO 80549-2289 | 2008-10-21 |
| 1306976949 | Kenneth Lauron Abbott | Internal Medicine | 110 Hospital Rd, Suite 110, Prince Frederick, MD 20678-4019 | 2007-03-06 |
| Street Address |
2222 W LEXINGTON AVE |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023198348 | James E. Gluckin | Ophthalmology | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | 2006-10-17 |
| 1083165708 | Elkhart Clinic, LLC | Clinic/Center | 2222 W Lexington Ave, Suite B, Elkhart, IN 46514-1420 | 2016-10-18 |
| 1013380526 | Elkhart Clinic, LLC | Ophthalmology | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | 2015-11-05 |
| 1376982074 | Melissa A Henderson | Optometrist | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | 2013-06-17 |
| 1336362318 | Tiffany Nicole Szymarek | Ophthalmology | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | 2007-04-10 |
| 1831268150 | Abbott Eye Clinic Inc PC | Optometrist | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043343908 | Gabriele Eye Institute | Ophthalmology | 2216 Cassopolis St, Elkhart, IN 46514-5133 | 2007-03-13 |
| 1023198348 | James E. Gluckin | Ophthalmology | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | 2006-10-17 |
| 1245278068 | Richard Clayton Boling II | Ophthalmology | 2746 Old Us 20 W, Elkhart, IN 46514-1364 | 2006-06-03 |
| 1013380526 | Elkhart Clinic, LLC | Ophthalmology | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | 2015-11-05 |
| 1629333133 | Whitney Boling | Ophthalmology | 2746 Old Us 20 W, Ste B, Elkhart, IN 46514-1364 | 2012-07-10 |
| 1336362318 | Tiffany Nicole Szymarek | Ophthalmology | 2222 W Lexington Ave, Elkhart, IN 46514-1420 | 2007-04-10 |
| 1003851445 | Boling Vision Center, LLC | Ophthalmology | 2746 Old Us 20 W, Elkhart, IN 46514-1364 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655533 | Vision Care Center LLC | Ophthalmology | 120 Se 4th St Ste 1300, Evansville, IN 47708-1607 | 2020-07-02 |
| 1346860947 | Timecertain, PC | Ophthalmology | 3530 S Keystone Ave, Indianapolis, IN 46227-3611 | 2020-04-23 |
| 1316566797 | Visionary Eye Specialists LLC | Ophthalmology | 9002 N Meridian St Ste 112, Indianapolis, IN 46260-5349 | 2020-04-15 |
| 1467003756 | Rachel Davis | Ophthalmology | 14637 N Gray Rd, Westfield, IN 46062-9274 | 2019-09-27 |
| 1255986162 | Northeast Ophthalmology P C | Ophthalmology | 7750 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4174 | 2019-08-07 |
| 1033631098 | Cataract Vision Institute Indiana LLC | Ophthalmology | 11595 North Meridian, Ste 175, Carmel, IN 46032 | 2017-07-12 |
| 1356703821 | Anjulie Gang | Ophthalmology | 9002 N Meridian St Ste 100, Indianapolis, IN 46260-5354 | 2016-03-24 |
| 1215302567 | Chad R. Kauffman, Do, LLC | Ophthalmology | 7615 Dean Rd, Indianapolis, IN 46240-3635 | 2015-12-10 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1649665241 | Kevin Bubel | Ophthalmology | 759 45th St Ste 101, Munster, IN 46321-2939 | 2015-03-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KENNETH W ABBOTT.
| 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.