MR. MICHAEL D KENNEDY


Address: 86 Thomas Johnson Ct, Frederick, MD 21702-4348
Phone: 3016948311

MR. MICHAEL D KENNEDY (NPI# 1972599678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972599678
Entity Type Individual
Full Name MR. MICHAEL D KENNEDY
Credential PA C
Practice Address 86 Thomas Johnson Ct
Frederick
MD 21702-4348
Practice Telephone 3016948311
Mailing Telephone 3016948311
Enumeration Date 2005-09-27
Last Update Date 2020-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
C0002738 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL KENNEDY

NPI Name Taxonomy Address Enumeration
1992047427 Michael W Kennedy General Practice 6686 Eagle Crossing Blvd, Brownsburg, IN 46112-7420 2013-03-22
1861732760 Michael Kennedy Social Worker 865 Memorial Pkwy, Phillipsburg, NJ 08865-2730 2013-03-01
1306116066 Michael Shawn Kennedy Psychologist 113 Hawk Dr, Dulce, NM 87528 2012-01-11
1558507749 Michael Patrick Kennedy Registered Nurse 11310 Huron St Ste 100, Northglenn, CO 80234-3090 2008-12-18
1861678435 Michael George Kennedy Social Worker 1290 W 8th Pl, Suite A, Yuma, AZ 85364-3621 2008-01-14
1992985550 Michael Arthur Kennedy Preventive Medicine 62 N. Chapel St, #100, Physicians Group, LLC, Newark, DE 19711-2238 2007-11-11
1639358088 Michael John Kennedy Chiropractor 12105 41st Ave N, Apt 118, Plymouth, MN 55441-1200 2007-11-01
1588879043 Michael Thomas Kennedy Surgery 28144 El Montanero, Laguna Niguel, CA 92677-7545 2007-05-10
1245361815 Michael C Kennedy Chiropractor 3580 Rte 281, Cortland, NY 13045 2007-03-08
1245391473 Michael Arthur Kennedy Physician Assistant 111 E Hwy 120, Ste. 104, Pottsboro, TX 75076-3008 2006-12-12

Office Location

Street Address 86 THOMAS JOHNSON CT
City FREDERICK
State MD
Zip Code 21702-4348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457962219 Jamie Lynn Russell Physical Therapist 86 Thomas Johnson Ct, Frederick, MD 21702-4348 2020-08-13
1053970335 Lucas Lin Chang Physical Therapist 86 Thomas Johnson Ct, Frederick, MD 21702-4348 2019-06-10
1417469883 Mackenzie Renee Frazier Occupational Therapist 86 Thomas Johnson Ct, Frederick, MD 21702-4348 2017-10-25
1619486701 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 86 Thomas Johnson Ct, Frederick, MD 21702 2017-09-21
1124547468 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 86 Thomas Johnson Ct, Frederick, MD 21702 2017-09-19
1104345719 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 86 Thomas Johnson Ct, Frederick, MD 21702-4348 2017-09-14
1578087276 Centers for Advanced Orthopaedics, LLC Occupational Therapist 86 Thomas Johnson Ct, Frederick, MD 21702 2017-08-03
1215451919 Centers for Advanced Orthopaedics, LLC Chiropractor 86 Thomas Johnson Ct, Frederick, MD 21702 2017-08-03
1962950196 Megan Willis Physical Therapist 86 Thomas Johnson Ct, Frederick, MD 21702-4348 2016-09-16
1497105621 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 86 Thomas Johnson Ct, Frederick, MD 21702 2016-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129714 Rita Akowuah Nurse Practitioner 1302 Baker Place East Apt 14, Frederick, MD 21702 2020-09-18
1912416272 Morgan Nicely Behavior Technician 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 2017-09-29
1154840494 Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 2017-09-19
1831617471 Hazel Elizabeth Gill Physical Therapy Assistant 2007 Butterfield Overlook, Frederick, MD 21702 2017-09-05
1831610161 William Haynes Nurse Practitioner 103 Water Land Ct., Frederick, MD 21702 2017-06-27
1497299333 Timothy Stimach Pharmacist 1430b W Patrick St, Frederick, MD 21702 2016-12-12
1184167405 Maryland Nutrition and Diet Services, L.L.C. Dietitian, Registered 1301 W. 7th Street, No. 1607, Frederick, MD 21702 2016-11-18
1649649468 Oluwakemi Olubunmi Osidele Nurse Practitioner 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 2015-09-22
1841678562 Ventzislava Hristova Spec/Tech, Pathology 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 2015-05-14
1023404571 Mychal Lynn Pilia Advanced Practice Midwife 7420 Hayward Road, Suite 104, Frederick, MD 21702 2015-04-11
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295250728 Laura York Physician Assistant 81 Thomas Johnson Ct Ste A, Frederick, MD 21702-4674 2017-08-05
1063892503 Mitchel Eh Sicard Physician Assistant 5257 Buckeystown Pike, #244, Frederick, MD 21704-7535 2015-05-30
1275792095 Rommie Navylia Abele Physician Assistant 86 Thomas Johnson Ct, Frederick, MD 21702-4348 2008-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205475803 Kendy Karenys Lopez Physician Assistant 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 2019-12-30
1528619640 Cindy Pham Physician Assistant 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 2019-09-20
1508336637 Victor Orlando Hernandez Physician Assistant 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 2018-12-02
1164905824 Surgical Focus LLC Physician Assistant 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 2018-09-10
1912497173 Gem Y Walker Lawson Physician Assistant 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 2018-05-14
1306341540 Sunil Harris Physician Assistant 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 2018-03-29
1134639263 Liz Ramirez Physician Assistant 1101 E 33rd St, Baltimore, MD 21218-3637 2017-10-03
1093231755 Daniel Gentry Physician Assistant 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 2017-08-15
1467981431 Lana E Grubb Physician Assistant 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 2017-06-05
1174051353 Nam Anh Pham Physician Assistant 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 2017-05-31
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Competitor

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City FREDERICK
Zip Code 21702

Improve Information

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Dataset Information

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.

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