Roger O Kennedy
JOHNSON REGIONAL MEDICAL CENTER


Address: 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419
Phone: 4797545454

Roger O Kennedy (NPI# 1659484848, PAC ID# 8325236763) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1659484848
PAC ID by PECOS 8325236763
Professional Enrollment ID I20101229000270
Full Name Roger O Kennedy
Organization Legal Name JOHNSON REGIONAL MEDICAL CENTER
Address 1100 E Poplar St B
Jrmc Anesthesia
Clarksville
AR 72830-4419
Phone Number 4797545454
Gender M
Graduation Year 1977
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 1658360284
Number of Group Practice Members 16
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
040002 JOHNSON REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419 4797545454 JOHNSON REGIONAL MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_426_overall Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) 97%
MIPS_EC_430_overall Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy 40%

Organization Information

Organization Legal Name JOHNSON REGIONAL MEDICAL CENTER
Physicians 16

Physicians with the same organization

Name Specialty Organization Address
Maranda Hickey Nurse Practitioner Johnson Regional Medical Center 1100 E Poplar St A, Clarksville, AR 72830-4419
Karen Michelle Branch Nurse Practitioner Johnson Regional Medical Center 1100 E Poplar, Clarksville, AR 72830-4419
Ma-ko Chen Physical Medicine and Rehabilitation Johnson Regional Medical Center 1100 E Poplar C, Jrmc Provider Based Physicians, Clarksville, AR 72830-4419
Jim L Clasen Certified Registered Nurse Anesthetist (crna) Johnson Regional Medical Center 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419
Joann Meyer Ophthalmology Johnson Regional Medical Center 2 Medicine Dr, Clarksville, AR 72830-4431
Rolando L Cheng Orthopedic Surgery Johnson Regional Medical Center 1 Medicine Dr, Clarksville, AR 72830-4431
Kevin Meyer General Surgery Johnson Regional Medical Center 2 Medicine Dr, Clarksville, AR 72830-4431
Kate Gazenko General Surgery Johnson Regional Medical Center 2 Medicine Dr, Clarksville, AR 72830-4431
Steven D Hill Certified Registered Nurse Anesthetist (crna) Johnson Regional Medical Center 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419
Manuel A Warrior Jr. Certified Registered Nurse Anesthetist (crna) Johnson Regional Medical Center 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419

Office Location

Street Address 1100 E POPLAR ST B
JRMC ANESTHESIA
City CLARKSVILLE
State AR
Zip 72830-4419

Physicians in the same location

Name Specialty Organization Address
Jim L Clasen Certified Registered Nurse Anesthetist (crna) Johnson Regional Medical Center 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419
Steven D Hill Certified Registered Nurse Anesthetist (crna) Johnson Regional Medical Center 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419
Manuel A Warrior Jr. Certified Registered Nurse Anesthetist (crna) Johnson Regional Medical Center 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419
Andrew S Gazenko Certified Registered Nurse Anesthetist (crna) Johnson Regional Medical Center 1100 E Poplar St B, Jrmc Anesthesia, Clarksville, AR 72830-4419

Physicians in the same zip code

Name Specialty Organization Address
Rebecca King Optometry 210 W Main St, Clarksville, AR 72830-3019
Richard L Mcdougal Ophthalmology 709 W Main St, Clarksville, AR 72830-3410
Ashley N Gattis Nurse Practitioner River Valley Primary Care Services 708 W Main St, Clarksville, AR 72830-3411
Susan K Gateley Nurse Practitioner Clarksville Medical Group, P.a. 601 W Mckennon St, Clarksville, AR 72830-3523
Catherine S Miranda Nurse Practitioner Clarksville Medical Group, P.a. 601 W Mckennon St, Clarksville, AR 72830-3523
Mary Janell Burch Family Medicine Clarksville Medical Group, P.a. 601 W Mckennon St, Clarksville, AR 72830-3523
Jess E Jordan Nurse Practitioner Clarksville Medical Group, P.a. 601 W Mckennon St, Clarksville, AR 72830-3523
John C Dunham Family Medicine Clarksville Medical Group, P.a. 601 W Mckennon St, Clarksville, AR 72830-3523
Sarah M Woodruff Family Medicine Clarksville Medical Group, P.a. 601 W Mckennon St, Clarksville, AR 72830-3523
Consuella R Flurry Physical Therapy 112 S Fulton St, Clarksville, AR 72830-3612
Find all physicians in zip 72830

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Dataset Information

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.

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