DANIEL WILLIAM KENNEDY (NPI# 1801004585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801004585 |
| Entity Type | Individual |
| Full Name | DANIEL WILLIAM KENNEDY |
| Credential | M.D. |
| Practice Address |
1320 W Main St Newark OH 43055-1822 |
| Mailing Address |
Po Box 948 2112 Cherry Valley Rd. Newark OH 43058-0948 |
| Practice Telephone | 7403484710 |
| Practice Fax Number | 7403484740 |
| Mailing Telephone | 7405223774 |
| Mailing Fax Number | 7405222221 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | 35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 207UN0903X |
Nuclear Medicine Specialization: In Vivo & In Vitro Nuclear Medicine |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35.090631 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
57012390 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| N | 2085H0002X |
Radiology Specialization: Hospice and Palliative Medicine |
35-090631 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3039198 | 05 | |
| OH | RAILROAD MEDICARE | P00880289 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316487044 | Daniel Kennedy | Nurse Practitioner | 304 Northcreek Blvd, Suite 120, Goodlettsville, TN 37072-2096 | 2017-02-28 |
| 1073747507 | Daniel Kennedy | Counselor | 65 Meadows Dr, Glassboro, NJ 08028-2424 | 2009-05-12 |
| 1447326590 | Daniel O'neill Kennedy | Registered Nurse | 1432 Sultan Drive, Suite 100, Fort Detrick, MD 21702-5001 | 2006-11-28 |
| 1659446714 | Daniel P Kennedy | Chiropractor | 214 W 29th St, Ste# 205, New York, NY 10001-5203 | 2006-11-22 |
| 1093809568 | Daniel J Kennedy | Internal Medicine | 1637 Westshore St, Davis, CA 95616-2973 | 2006-10-02 |
| 1437678166 | Daniel Patrick Kennedy | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-13 |
| 1629512900 | Daniel Kennedy | Occupational Therapist | 8559 N Line Creek Pkwy, Kansas City, MO 64154-2100 | 2016-12-06 |
| 1437560281 | Daniel Kennedy | Student in an Organized Health Care Education/Training Program | 2500 N State St, Dept of Radiology, Jackson, MS 39216-4500 | 2014-05-14 |
| 1255687174 | Daniel Michael Kennedy | Licensed Psychiatric Technician | 400 N Pepper Ave, Colton, CA 92324-1801 | 2012-07-29 |
| 1609133032 | Daniel Bernard Kennedy | Technician, Other | 7300 Klawock Hollis Highway, Klawock, AK 99925 | 2012-04-23 |
| Street Address |
1320 W MAIN ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076898 | Jeff Bare | Emergency Medicine | 1320 W Main St, Newark, OH 43055-1822 | 2005-07-12 |
| 1538767116 | Amanda Kay Codlin | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2020-10-15 |
| 1053928101 | Andrea Sims | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2020-09-23 |
| 1376155630 | Jeanette Carpenter | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2020-08-18 |
| 1912521451 | Courtney Marie Adams | Nurse Anesthetist, Certified Registered | 1320 W Main St, Newark, OH 43055-1822 | 2020-06-01 |
| 1770105603 | Jason Sturgeon | Clinic/Center | 1320 W Main St, Newark, OH 43055-1822 | 2020-05-14 |
| 1376195248 | Rahel Gebeyehu Mitiku | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2019-07-11 |
| 1720544232 | Corey Salyer | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2019-02-20 |
| 1851860589 | Tabitha Gartner | Nurse Practitioner | 1320 W Main St, Newark, OH 43055-1822 | 2018-11-26 |
| 1972010783 | Patricia Joan Liesen | Dietitian, Registered | 1320 W Main St, Newark, OH 43055-1822 | 2018-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| 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 |
|---|---|---|---|---|
| 1740706175 | Delaware Radiology Associates Pa | Radiology | 6 Omega Dr Bldg L, Newark, DE 19713-2056 | 2017-08-17 |
| 1912133109 | Oluwole Ayodeji Tairu | Radiology | 150 Bergen St Level C, Newark, NJ 07103-2496 | 2009-06-02 |
| 1548435290 | Denis Primakov | Radiology | 4755 Ogletown Stanton Rd Ste 1752, Newark, DE 19718-2200 | 2008-04-24 |
| 1518163773 | Samson Wong | Radiology | 4755 Ogletown Stanton Rd Rm 1752, Newark, DE 19718-6402 | 2007-06-25 |
| 1386864635 | Open Mri & Imaging of Newark | Radiology | 243 Chestnut Street, Newark, NJ 07105-6501 | 2007-04-27 |
| 1194853952 | Anton Grant Delport | Radiology | 4755 Ogletown-stanton, Roadroom 2a00-christiana Hospital, Newark, DE 19718-0001 | 2007-03-01 |
| 1316028665 | Edward A Del Grosso | Radiology | 1320 W. Main Street, Newark, OH 43055-1822 | 2006-10-17 |
| 1720172885 | Delaware Womens Imaging LLC | Radiology | J-24 Omega Drive, Newark, DE 19713 | 2006-10-03 |
| 1659484467 | An Open Mri Imaging of Newark, LLC | Radiology | 243 Chestnut St., Newark, NJ 07105-6501 | 2006-08-16 |
| 1083645394 | Helen Sax | Radiology | J24 Omega Drive, Newark, DE 19713-2060 | 2006-07-05 |
| Find all providers in NEWARK | ||||
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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.