Donald E Kennedy Jr., D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34-011642 Issued in OH

Practice address

1900 23Rd St
Cuyahoga Falls, OH 44223-1404

Phone

(330) 971-7225

Fax

(330) 971-7227

NPI assigned

Jun 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Lake Erie Col of Osteopathic Medicine, Bradenton, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ues Ahuja LLCGroup PAC ID 5496985467, 39 clinicians

Physicians Link Center LLCGroup PAC ID 8527969492, 49 clinicians

Pomerene HospitalGroup PAC ID 5496856270, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
• University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002
• Pomerene Hospital Hospital, Millersburg, OH, CCN 361337
• Pomerene Hospital Hospital, Millersburg, OH, CCN 360148

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317
• Direct secure messaging: dkennedy628734@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians Link Center LLC

  • Emergency Medicine Physician
  • Elyria, OH
  • NPI 1235172925
  Medicare reassignment Care Compare group NPD
• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Medicare reassignment Care Compare group NPD
• Ues Ahuja LLC

  • Emergency Medicine Physician
  • Beachwood, OH
  • NPI 1467883934
  Medicare reassignment Care Compare group NPD
• Magis Emergency Medicine LLC

  • Emergency Medicine Physician
  • Parma, OH
  • NPI 1801287511
  Medicare reassignment NPD
• Summa Emergency Associates, Inc.

  • Emergency Medicine Physician
  • Wooster, OH
  • NPI 1811936883
  Medicare reassignment NPD
• Summa Emergency Associates

  • Emergency Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1639317944
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Care Compare affiliation
• Robinson Health System, Inc.

  dba University Hospitals Portage Medical Center

  • General Acute Care Hospital
  • Ravenna, OH
  • NPI 1043641897
  Care Compare affiliation
• Samaritan Regional Health System

  dba University Hospitals Samaritan Medical Center

  • General Acute Care Hospital
  • Ashland, OH
  • NPI 1902882939
  Care Compare affiliation

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1063776847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 E WILLOWVIEW DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443192947",
            "telephone_number": "330-971-7225",
            "fax_number": "330-971-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-971-7225",
            "fax_number": "330-971-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DONALD",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-011642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Keaton, LPC
• Ashley Keener, MSW, LSW
• Kyle P. Keller, DDS
• Allison L Kendig, CRNA
• Alyssa Marie Kendrick, DO
• Kent Management Group Inc (Premier Medical Partners)
• Robert A Kent Jr., DO
• Kentix Developmental Health LLC
• Robert F Kepley, M.D.
• Rahul P Khandekar, DPM

• Emergency Medicine Physician in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.