NPIMap

Individual provider Active NPI

James P Kennedy, M.D.

  • Orthopaedic Surgery Physician
  • Barberton, OH
National Provider Identifier
1114970357
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35.052187 Issued in OH
Practice address
72 5TH St SE
Suite a
Barberton, OH 44203-4201
Phone
(330) 670-4111
Fax
(330) 670-4113
NPI assigned
May 18, 2006
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.052187 OH Primary

Addresses

Primary practice location

72 5TH St SE
Suite a
Barberton, OH 44203-4201

Mailing address

72 5TH St SE
Suite a
Barberton, OH 44203-4201
Phone (330) 670-4111

Other identifiers 1

IdentifierTypeStateIssuer
0803090MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000251 OH Practitioner - Orthopedic Surgery 1557395258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northeastern Ohio University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Clinic, Inc.Group PAC ID 7214821586, 46 clinicians

Practice addresses (Care Compare)

72 5TH St SE a
Barberton, OH 44203-3319
Phone (330) 668-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.052187OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Inc CurrentSince May 1, 2011 Accepting new patients
Crystal Clinic, Inc. Orthopaedic Surgery CurrentSince May 1, 2011 Accepting new patients
Crystal Clinic Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Jan 16, 2018 Accepting new patients
Crystal Clinic Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Jan 16, 2018 Accepting new patients
Crystal Clinic Orthopaedic Center, LLC Orthopaedic Surgery Past Accepting new patients
Orthopaedics Inc. Orthopaedic Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

566 Robinson Ave
Ste 400
Barberton, OH 44203
Phone (330) 753-1015

72 5th St SE
Ste A
Barberton, OH 44203
Phone (330) 670-4111

4466 Fulton Dr NW
Canton, OH 44718
Phone (330) 489-1386

437 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 929-9136

1622 E Turkeyfoot Lake Rd
Ste 200
Green, OH 44312
Phone (330) 644-7436

1622 E Turkeyfoot Lake Rd
Ste 201
Green, OH 44312
Phone (330) 776-4440

Organizations & group practices 6

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

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1114970357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 5TH ST SE",
            "address_2": "SUITE A",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034201",
            "telephone_number": "330-670-4111",
            "fax_number": "330-670-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 5TH ST SE",
            "address_2": "SUITE A",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034201",
            "telephone_number": "330-670-4111",
            "fax_number": "330-670-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.052187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803090",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.