John W Kennedy (NPI# 1780665448, PAC ID# 6800980947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780665448 |
| PAC ID by PECOS | 6800980947 |
| Professional Enrollment ID | I20080128000498 |
| Full Name | John W Kennedy |
| Organization Legal Name | MARION OCCUPATIONAL MEDICINE LLC |
| Address |
1614 N Baldwin Ave Marion IN 46952-1437 |
| Phone Number | 7656649000 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 5698957181 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150011 | MARION GENERAL HOSPITAL |
| 151310 | PARKVIEW WABASH HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 1614 N Baldwin Ave, Marion, IN 46952-1437 | 7656649000 | MARION OCCUPATIONAL MEDICINE LLC |
| Organization Legal Name | MARION OCCUPATIONAL MEDICINE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia Gail Bogue | Nurse Practitioner | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Sara J Nevil | Nurse Practitioner | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Virginia K Delon | Nurse Practitioner | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Street Address |
1614 N BALDWIN AVE |
| City | MARION |
| State | IN |
| Zip | 46952-1437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia Gail Bogue | Nurse Practitioner | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Sara J Nevil | Nurse Practitioner | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Virginia K Delon | Nurse Practitioner | Marion Occupational Medicine LLC | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Maria Ipo-miller | Physical Therapy | Apex Physical Therapy Center Inc | 1614 N Baldwin Ave, Marion, IN 46952-1437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlo C Lo | Maxillofacial Surgery | 1612 N Baldwin Ave A, Marion, IN 46952-1457 | |
| Bernard Brent Dreiman | Oral Surgery | Oral and Maxillofacial Surgery, P.C. | 1612 N Baldwin Ave A, Marion, IN 46952-1457 |
| Gary Lynn Adsit I | Podiatry | 1900 W Kem Rd, Marion, IN 46952-1548 | |
| Paul E Gandy | Diagnostic Radiology | Marion General Radiology Inc | 830 N Theatre Rd, Marion, IN 46952-1700 |
| Lisa M Wallace | Nurse Practitioner | Marion General Hospital | 831 N Theatre Dr, Phys Billing of Mgh, Marion, IN 46952-1701 |
| Anthony Stephen Tilmans | Radiation Oncology | Indiana Radiotherapy, PC | 831 Theatre Dr, Marion, IN 46952-1701 |
| Edmond A Bendaly | Hematology/oncology | Marion General Hospital | 831 N Theatre Dr, Phys Billing of Mgh, Marion, IN 46952-1701 |
| Arvind Kumar | Radiation Oncology | Indiana Radiotherapy, PC | 831 Theatre Dr, Marion, IN 46952-1701 |
| Fred H Francis Ii | Radiation Oncology | Indiana Radiotherapy, PC | 831 Theatre Dr, Marion, IN 46952-1701 |
| Rathipriya Mahendran | Hematology/oncology | Marion General Hospital | 831 N Theatre Dr, Phys Billing of Mgh, Marion, IN 46952-1701 |
| Find all physicians in zip 46952 | |||
| City | MARION |
| Zip Code | 46952 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARION + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John W 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.