JUDITH KENNEDY (NPI# 1790963494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790963494 |
| Entity Type | Individual |
| Full Name | JUDITH KENNEDY |
| Credential | MD |
| Practice Address |
11123 Parkview Plaza Dr. Suite 101 Fort Wayne IN 46845 |
| Mailing Address |
3926 New Vision Dr Suite 1 Fort Wayne IN 46845-1712 |
| Practice Telephone | 2604227455 |
| Mailing Telephone | 2604227455 |
| Mailing Fax Number | 2604585641 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2016-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01064765B | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000620977 | 01 |
| IN | 200947960 | 05 | |
| IN | OH MEDICAID | 3013287 | 01 |
| IN | R.R. MEDICARE | P00907654 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881059871 | Judith Kennedy | Social Worker | 5 Arlena Ter, Ramsey, NJ 07446-2501 | 2015-12-18 |
| 1093866675 | Judith Mary Kennedy | Marriage & Family Therapist | 6594 N 1st St, Suite 101, Fresno, CA 93710-3957 | 2007-01-12 |
| 1427035724 | Judith A Kennedy | Physical Therapist | 1175 Grand A Ve, Norwood, CO 81423 | 2005-12-28 |
| 1407455686 | Judith Ellen Kennedy | Social Worker | 17 E Genesee St Ste 1, Auburn, NY 13021-4068 | 2020-10-20 |
| 1669942603 | Judith Eileen Kennedy | Occupational Therapist | 1120 Dunaway St, Miamisburg, OH 45342-3839 | 2018-12-03 |
| 1013262088 | Judith Kennedy | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-07-17 |
| 1134362197 | Judith Kennedy | Counselor | 319 Beech St, Holyoke, MA 01040-3925 | 2009-04-07 |
| 1821263021 | Judith Kennedy | Counselor | 1803 Oregon Pike, Lancaster, PA 17601-6401 | 2008-04-28 |
| 1831381581 | Judith M Kennedy | Counselor | 2620 Jackson Blvd, Rapid City, SD 57702-1502 | 2007-08-16 |
| Street Address |
11123 PARKVIEW PLAZA DR. SUITE 101 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467488734 | Julie S Platt | Obstetrics & Gynecology | 11123 Parkview Plaza Dr., Suite 202, Fort Wayne, IN 46845 | 2006-06-25 |
| 1932526365 | Kurt M. Snyder | Marriage & Family Therapist | 11123 Parkview Plaza Dr., Ste 200, Fort Wayne, IN 46845 | 2014-03-24 |
| 1265762132 | Lindsay Marie Coda | Obstetrics & Gynecology | 11123 Parkview Plaza Dr., Ste 101, Fort Wayne, IN 46845-1545 | 2009-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609056779 | Allen County Ob-gyn Associates, PC | Obstetrics & Gynecology | 800 Broadway Ste 315, Fort Wayne, IN 46802-2149 | 2007-11-06 |
| 1598806937 | Obstetrics and Gynecology Associates of Fort Wayne PC | Obstetrics & Gynecology | 7802 W Jefferson Blvd, Fort Wayne, IN 46804-4138 | 2007-02-09 |
| 1124063102 | Judy L. Zacher | Obstetrics & Gynecology | 3974 New Vision Drive, Fort Wayne, IN 46845-1712 | 2006-06-16 |
| 1275515801 | Jyothirmai K Reddy | Obstetrics & Gynecology | 7802 W. Jefferson Blvd, Fort Wayne, IN 46804 | 2005-11-18 |
| 1457341182 | H N Ramaprakash | Obstetrics & Gynecology | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-10-25 |
| 1639168404 | Kendra T Karner | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2005-10-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1588659064 | Tracy L Bellavance | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-09-12 |
| 1306838321 | Althea J. Jackson | Obstetrics & Gynecology | 2510 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1600 | 2005-08-16 |
| 1255332664 | Lora Overton | Obstetrics & Gynecology | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2005-08-09 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.