Colleen I. Kennedy, MD, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M7325 Issued in TX

Legal business name

COLLEEN I. KENNEDY, MD, PA

Practice address

4450 Tubbs Rd
Rockwall, TX 75032-6308

Phone

(214) 775-1356

Fax

(214) 613-2231

NPI assigned

Dec 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Colleen Kennedy, MDNPI 1508897810

Title

President

Phone

(214) 775-1356

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colleen I Kennedy, MD

  • Surgery Physician
  • Rockwall, TX
  • NPI 1508897810
  Medicare reassignment NPD Authorized official
• David T Arnold, MD

  • Surgery Physician
  • Dallas, TX
  • NPI 1982675161
  NPD (past)
• Kenneth Leu, DC

  • Chiropractor
  • Dallas, TX
  • NPI 1043957400
  NPD (past)
• Brice David Vanderpool, MD

  • Surgery Physician
  • Dallas, TX
  • NPI 1598735979
  NPD (past)
• Matthew Van Westmoreland, MD

  • Surgery Physician
  • Dallas, TX
  • NPI 1902877186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1033448295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 TUBBS RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326308",
            "telephone_number": "214-775-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 TUBBS RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326308",
            "telephone_number": "214-775-1356",
            "fax_number": "214-613-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN I. KENNEDY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-775-1356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah O. Coffey, SLP
• Emily B Colbert
• Sydney Cole, PSYD
• Shelonda Coleman
• Collective Cactus Counseling
• Brenda Louise Collins, LPC, BCMT
• Keona Monae Collins
• Colonial Oaks at Rockwall Opco LLC
• Helen M Comeau, PHD
• Comfort Achievers Home Health Network Inc

• Surgery Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.