DR. CHRISTOPHER R KENNEDY (NPI# 1982665303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982665303 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER R KENNEDY |
| Credential | M.D. |
| Practice Address |
4201 St Antoine St Suite 3 R Detroit MI 48201-2153 |
| Practice Telephone | 3137453330 |
| Mailing Telephone | 3137453330 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301076517 | MI | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301076517 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104527378 | 05 | |
| MI | 104592910 | 05 | |
| MI | 104527387 | 05 | |
| MI | BC/BS OF MI | CK076517 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730948 | Christopher John Kennedy | Respiratory Therapist, Certified | 6678 Springdale Dr, Cleveland, OH 44130-2600 | 2020-08-14 |
| 1467977793 | Christopher Kennedy | General Practice | 6002 S Highway 94, Weldon Spring, MO 63304-5679 | 2017-08-08 |
| 1255317640 | Christopher Andrew Kennedy | Physician Assistant | 300 Corporate Center Drive, Scott Depot, WV 25560 | 2005-12-19 |
| 1609497874 | Christopher L Kennedy | Emergency Medicine | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-04-29 |
| 1508349432 | Christopher Joseph Kennedy | Physical Therapy Assistant | 310 W Taft Ave, Sapulpa, OK 74066-5437 | 2018-09-06 |
| 1184158107 | Christopher Paul Kennedy | Family Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2017-04-17 |
| 1922530807 | Christopher Ryan Kennedy | Nurse Anesthetist, Certified Registered | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2017-03-30 |
| 1598209991 | Christopher Kennedy | Nurse Practitioner | 4961 Roberts Rd, Hilliard, OH 43026-8129 | 2016-12-05 |
| 1437503885 | Christopher James Kennedy | Podiatrist | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2016-04-21 |
| 1912340431 | Christopher Terry Kennedy | Emergency Medicine | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2013-04-15 |
| Street Address |
4201 ST ANTOINE ST SUITE 3 R |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092102 | Virginia Kaufman | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St, Uhc - 4c, Detroit, MI 48201-4820 | 2020-04-24 |
| 1578068227 | Alan David Auckland | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St, Uhc-9c, Detroit, MI 48201-2153 | 2018-03-26 |
| 1629424395 | Asil Naim Al-abed Daoud | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St, Uhc, 2e, Detroit, MI 48201 | 2016-05-11 |
| 1063777985 | Harold Dean Bowker IIi | Surgery | 4201 St Antoine St, Detroit Medical Center, Detroit, MI 48201 | 2012-07-06 |
| 1083815781 | Prerana Nitin Rajhans | Internal Medicine | 4201 St Antoine St, Suite 9c, Detroit, MI 48201 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
| 1487005831 | Mohamed Serhan Hamam | Emergency Medicine | 1350 W Bethune St Apt 1908, Detroit, MI 48202-2667 | 2016-06-28 |
| 1548618036 | Mark Molnar | Emergency Medicine | 4201 Staint Antoine 6g Uhc, Detroit, MI 48201 | 2016-05-25 |
| 1871911321 | Brandon Charles Busuito | Emergency Medicine | 3909 Woodward Ave Apt 302, Detroit, MI 48201-2088 | 2014-04-02 |
| 1477816346 | Michael Khalil | Emergency Medicine | 4201 St Antoine Ste 3r, Detroit, MI 48201-1446 | 2012-06-16 |
| 1346521457 | Ralphe Bou Chebl | Emergency Medicine | 1350 W Bethune St Apt 1106, Detroit, MI 48202-2664 | 2011-09-01 |
| 1407144942 | Megan Dougherty | Emergency Medicine | 4201 St Antoine Uhc 9c, Detroit, MI 48201 | 2011-07-19 |
| Find all providers in DETROIT | ||||
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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.