Organization Active NPI

Devine and Kennedy, LLC

  • Internal Medicine Physician
  • Youngstown, OH
National Provider Identifier
1487694865
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DEVINE AND KENNEDY, LLC
Practice address
1450 S Canfield Niles Road
Youngstown, OH 44515-2331
Phone
(330) 792-7495
Fax
(330) 793-2829
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Cyndee Fisher
Title
Billing Office Manager
Phone
(330) 270-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1450 S Canfield Niles Road
Youngstown, OH 44515-2331

Mailing address

PO Box 93825
Cleveland, OH 44101-5825
Phone (330) 884-1596

Other identifiers 1

IdentifierTypeStateIssuer
2387546MedicaidOH

National Provider Directory

National Provider Directory

Locations

1300 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 758-2121

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1487694865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93825",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441015825",
            "telephone_number": "330-884-1596",
            "fax_number": "330-793-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S CANFIELD NILES ROAD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152331",
            "telephone_number": "330-792-7495",
            "fax_number": "330-793-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE AND KENNEDY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CYNDEE",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "330-270-5454"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387546",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.