Kennedy Medical Group Practice, P.c., NPI 1164834297
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Voorhees, NJ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1164834297 |
| NPI Entity Type | Organization |
| Provider Name |
Kennedy Medical Group Practice, P.c.
Doing Business As |
| Subpart of Organization | Kennedy Medical Group Practice, P.c. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2301 Evesham Road, Suite 406, Voorhees, NJ, US |
| Provider Mailing Address | 205 E. Laurel Road, 2nd Floor, Stratford, NJ, US, 08084 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Katherine Schleider |
| Official Position | VPCLINICAL INTEGRATION & POPULATION |
| Phone | 856-783-1987 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Classification | |
| Group | |
| License No. | 25MB083854300 |
| License State | NJ |
| Description | A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| P00633440 | NJ | RAILROAD MEDICARE | 01 |
| 3911101 | NJ | MEDICAID | 05 |
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