Kenneth Leonard Todd III, M.D., FACPH, RPVI

Primary specialty

SpecialistTaxonomy code 174400000X

License

15348 Issued in AL

Practice address

3280 Ross Clark Cir
Dothan, AL 36303-3040

Phone

(334) 678-9494

Fax

(334) 678-8878

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.toddmd.p3@direct.cvr.nextgenshare.com

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.

• Center for Vein Restoration Al LLC

  • Vascular Surgery Physician
  • Dothan, AL
  • NPI 1164897427
  Medicare reassignment NPD
• Center for Vein Restoration Al LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Trussville, AL
  • NPI 1417825787
  NPD

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1215913025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033040",
            "telephone_number": "334-678-9494",
            "fax_number": "334-678-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033040",
            "telephone_number": "334-678-9494",
            "fax_number": "334-678-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "KENNETH",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D., FACPH, RPVI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "15348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID#",
            "identifier": "04-01952",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD ID#",
            "identifier": "51077969",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Tindell, LPC
• Donovan Tindle, RBT
• Marla Tinson, CNA
• Nishan Tiwari, MD
• Hannah Marie Tobler, DPT
• Victoria Ashlyn Tolle
• Emilee Tolleson
• Sarah Elizabeth Tolleson, MED CCC SLP
• Jennifer Seymour Tompkins, LPC
• Melissa Rae Toombs, CRNP

• Specialist in Dothan, AL
• Providers in Dothan, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.