Stephen D Kennedy (NPI# 1700957123, PAC ID# 7214901859) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1700957123 |
PAC ID by PECOS | 7214901859 |
Professional Enrollment ID | I20040820000469 |
Full Name | Stephen D Kennedy |
Organization Legal Name | MEMORIAL HOSPITAL |
Address |
1694 W Logansport Rd Peru Medical Center Peru IN 46970-3149 |
Phone Number | 7654722812 |
Gender | M |
Credential | MD |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8123923281 |
Number of Group Practice Members | 52 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150072 | MEMORIAL HOSPITAL |
150010 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
151318 | DUKES MEMORIAL HOSPITAL |
151310 | PARKVIEW WABASH HOSPITAL, INC |
Address | Phone | Organization |
---|---|---|
1694 W Logansport Rd, Peru Medical Center, Peru, IN 46970-3149 | 7654722812 | MEMORIAL HOSPITAL |
Organization Legal Name | MEMORIAL HOSPITAL |
Physicians | 200 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lynn M Larson | Internal Medicine | Memorial Hospital | 826 W King St, Memorial Medical Associates, Owosso, MI 48867-2120 |
Jan T Liu | Family Medicine | Memorial Hospital | 3337 Britton Rd, Perry, MI 48872-9706 |
Amanda Brooke Ariss | Nurse Practitioner | Memorial Hospital | 9099 E Lansing Rd B, Durand Urgent Care, Durand, MI 48429-1083 |
Kimberly S Macdermott | Nurse Practitioner | Memorial Hospital | 3073 White Mountain Hwy, No Conway, NH 03860-7101 |
Malena I Forgach | Physician Assistant | Memorial Hospital | 9099 E Lansing Rd A, Durand, MI 48429-1083 |
Ali Saeed | Neurology | Memorial Hospital | 9000 Peet Rd, Chesaning, MI 48616-1752 |
Tarek R Pacha | Urology | Memorial Hospital | 503 E Main St, Memorial Healthcare Urology Owosso, Owosso, MI 48867-3140 |
Narender R Thatikonda | Internal Medicine | Memorial Hospital | 9900 W M 21, 101 Ovid Elsie Primary Care, Ovid, MI 48866-9798 |
Ira Stanley Frye | Obstetrics/gynecology | Memorial Hospital | 1457 N M 52, 2 Memorial Healthcare Ob/gyn Owosso, Owosso, MI 48867-1519 |
Vivek S Sahgal | Internal Medicine | Memorial Hospital | 1201 Michigan Ave, Suite 170, Logansport, IN 46947-1585 |
Street Address |
1694 W LOGANSPORT RD PERU MEDICAL CENTER |
City | PERU |
State | IN |
Zip | 46970-3149 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sharon S Cooley | Nurse Practitioner | Memorial Hospital | 1694 W Logansport Rd, Peru Medical Center, Peru, IN 46970-3149 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tyson C Damitz | Physical Therapy | Ivyrehab Physical Therapy Pllc | 5 Broadway Plz, Peru, IN 46970-1052 |
Letecia D Timmel | Clinical Social Worker | Four County Comprehensive Mental Health Center Inc | 1000 N Broadway A, Peru, IN 46970-1070 |
June H Pollydore | Obstetrics/gynecology | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
Leslie Michelle Guy | Clinical Social Worker | Four County Comprehensive Mental Health Center Inc | 1000 N Broadway A, Peru, IN 46970-1070 |
Russel Legreid | Otolaryngology | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
Ann V Collie | Endocrinology | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
Christine Lynn Romack | Nurse Practitioner | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
Mark D Crowley | Internal Medicine | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
Steven M Carney | Clinical Social Worker | Four County Comprehensive Mental Health Center Inc | 1000 N Broadway A, Peru, IN 46970-1070 |
Lacy Georgette Ireland | Nurse Practitioner | Dukes Physician Services LLC | 1000 N Broadway, Peru, IN 46970-1070 |
Find all physicians in zip 46970 |
City | PERU |
Zip Code | 46970 |
Specialty | FAMILY MEDICINE |
City + Specialty | PERU + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stephen D 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.