Individual provider Active NPI

Margaret Kennedy, MD

  • Hematology & Oncology Physician
  • Burlington, VT
National Provider Identifier
1306842844
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
042-0010571 Issued in VT
Practice address
Hematology Oncology 89 Beaumont Ave
Given Building E-14
Burlington, VT 05405-2156
Phone
(802) 656-5487
Fax
(802) 656-5493
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD422533 PA
Hematology & Oncology Physician 207RH0003X 042-0010571 VT Primary

Addresses

Primary practice location

Hematology Oncology 89 Beaumont Ave
Given Building E-14
Burlington, VT 05405-2156

Mailing address

Hematology Oncology Beaumont Ave
Given Building E-14
Burlington, VT 05405-2156
Phone (802) 656-5487

Other identifiers 1

IdentifierTypeStateIssuer
1008288030001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Physicians, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1306842844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEMATOLOGY ONCOLOGY BEAUMONT AVE",
            "address_2": "GIVEN BUILDING E-14",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054052156",
            "telephone_number": "802-656-5487",
            "fax_number": "802-656-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEMATOLOGY ONCOLOGY 89 BEAUMONT AVE",
            "address_2": "GIVEN BUILDING E-14",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054052156",
            "telephone_number": "802-656-5487",
            "fax_number": "802-656-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MARGARET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD422533",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VT",
            "license": "042-0010571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008288030001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.