Kenneth B Hawthorne Jr MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

KENNETH B HAWTHORNE JR MD PA

Practice address

106 N Old Kings Rd
Ste E
Ormond Beach, FL 32174-9505

Phone

(386) 671-0115

Fax

(386) 671-0844

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Kenneth B Hawthorne Jr., MDNPI 1659331619

Title

President/Owner

Phone

(386) 671-0115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Brookfield Hawthorne Jr., MD

  • Orthopaedic Surgery Physician
  • Ormond Beach, FL
  • NPI 1659331619
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1134458433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N OLD KINGS RD",
            "address_2": "STE E",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749505",
            "telephone_number": "386-671-0115",
            "fax_number": "386-671-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N OLD KINGS RD",
            "address_2": "STE E",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749505",
            "telephone_number": "386-671-0115",
            "fax_number": "386-671-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH B HAWTHORNE JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "386-671-0115",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Keen, M.D.
• Jay A Keesling, O.D.
• Michael R Keller
• Janelle Kelley, AUD
• Mark E Kennedy, MD
• Kaley Susanne Kenney
• Sandra Kent, M.ED, CCC-SLP
• Raymond A Kenzik, DDS
• Kerry a Crandall,Arnp
• Taher Khalil, M D P A

• Orthopaedic Surgery Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.