Thomas P Kennedy (NPI# 1881985182, PAC ID# 0345474185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1881985182 |
| PAC ID by PECOS | 0345474185 |
| Professional Enrollment ID | I20160815002907 |
| Full Name | Thomas P Kennedy |
| Organization Legal Name | SANFORD MEDICAL CENTER FARGO |
| Address |
801 Broadway N Fargo ND 58102-3641 |
| Phone Number | 7012342000 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8426967803 |
| Number of Group Practice Members | 714 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350011 | SANFORD MEDICAL CENTER FARGO |
| 241373 | PERHAM HEALTH |
| 241381 | SANFORD THIEF RIVER FALLS MEDICAL CENTER |
| 351329 | SANFORD HILLSBORO |
| 241336 | KITTSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 Broadway N, Fargo, ND 58102-3641 | 7012342000 | SANFORD MEDICAL CENTER FARGO |
| Organization Legal Name | SANFORD MEDICAL CENTER FARGO |
| Physicians | 563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Smolen | Nurse Practitioner | Sanford Medical Center Fargo | 4000 28th Ave S, Moorhead, MN 56560-7460 |
| Ahmed M Kassem | Ophthalmology | Sanford Medical Center Fargo | 1717 University Dr S, Fargo, ND 58103-4939 |
| Sugong Chen | General Surgery | Sanford Medical Center Fargo | 621 Demers Ave, East Grand Forks, MN 56721-1812 |
| Ashley Heule | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center Fargo | 5225 23rd Ave S, Fargo, ND 58104-7927 |
| Amy Iva Stevahn | Nurse Practitioner | Sanford Medical Center Fargo | 2801 University Dr S, Fargo, ND 58103-6029 |
| Cynthia Vingelen | Nurse Practitioner | Sanford Medical Center Fargo | 1220 Sheyenne St, West Fargo, ND 58078-2637 |
| Scott B Phillips | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Amanda Helmer | Nurse Practitioner | Sanford Medical Center Fargo | 1111 Harwood Dr S, Fargo, ND 58104-4603 |
| Lakshmi K Pathak | Internal Medicine | Sanford Medical Center Fargo | 520 Chautauqua Blvd, Valley City, ND 58072-3145 |
| Sonja A Lien | Family Practice | Sanford Medical Center Fargo | 2400 32nd S Ave, Sanford Southpointe Clinic, Fargo, ND 58103-5800 |
| Street Address |
801 BROADWAY N |
| City | FARGO |
| State | ND |
| Zip | 58102-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sadie M Nelson | Nurse Practitioner | Sanford Clinic North | 801 Broadway N, Fargo, ND 58102-3641 |
| Jaroslaw Nmn Mateuszczyk | Critical Care (intensivists) | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Julie A Honeyman | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Panjini M Sivanna | Interventional Pain Management | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Marie L Brekken | Physician Assistant | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Todd D Underdahl | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Krishna Talluri | Hospitalist | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Devendranath R Mannuru | Hospitalist | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Amit Kaushal | Undefined Physician Type (specify) | Sanford Medical Center Fargo | 801 Broadway N, Fargo, ND 58102-3641 |
| Shauna Marie Fellman | Nurse Practitioner | Sanford Clinic North | 801 Broadway N, Fargo, ND 58102-3641 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry A Peterson | Physician Assistant | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Jennifer L Kringlie | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kathy M Smith | Clinical Social Worker | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Tracy L Kirchner | Physician Assistant | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Jessie S Lindemann | Family Medicine | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kristina Jean Gresh | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Kayla M Weigel | Nurse Practitioner | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Douglas Marlin Griffin | Family Medicine | Sanford Medical Center Fargo | 2601 Broadway N, Fargo, ND 58102-1406 |
| Travis Michael Helmers | Chiropractic | Carpell PC | 2802 Broadway N, Fargo, ND 58102-1420 |
| Courtney R Carpenter | Chiropractic | Carpell PC | 2802 Broadway N, Fargo, ND 58102-1420 |
| Find all physicians in zip 58102 | |||
| City | FARGO |
| Zip Code | 58102 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FARGO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Thomas P Kennedy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.