James G Kennedy (NPI# 1063410603, PAC ID# 3476523200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1063410603 |
| PAC ID by PECOS | 3476523200 |
| Professional Enrollment ID | I20040729000316 |
| Full Name | James G Kennedy |
| Organization Legal Name | BYERS PEAK FAMILY MEDICINE |
| Address |
78878 Us Hwy 40 106 Winter Park CO 80482 |
| Phone Number | 3037220300 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0446280325 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061318 | MIDDLE PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 78878 Us Hwy 40 106, Winter Park, CO 80482 | 3037220300 | BYERS PEAK FAMILY MEDICINE |
| Organization Legal Name | BYERS PEAK FAMILY MEDICINE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelley M Glancey | Family Medicine | Byers Peak Family Medicine | 78878 Us Hwy 40 106, Winter Park, CO 80482 |
| Catherine C Hankla | Family Medicine | Byers Peak Family Medicine | 78878 Us Hwy 40 106, Winter Park, CO 80482 |
| Street Address |
78878 US HWY 40 106 |
| City | WINTER PARK |
| State | CO |
| Zip | 80482 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelley M Glancey | Family Medicine | Byers Peak Family Medicine | 78878 Us Hwy 40 106, Winter Park, CO 80482 |
| Catherine C Hankla | Family Medicine | Byers Peak Family Medicine | 78878 Us Hwy 40 106, Winter Park, CO 80482 |
| City | WINTER PARK |
| Zip Code | 80482 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | WINTER PARK + FAMILY PRACTICE |
Please comment or provide details below to improve the information on James G 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.