Active NPI
Thomas L Kennedy Jr MD PLLC
- Surgery Physician
- El Dorado, AR
National Provider Identifier
1528937844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- THOMAS L KENNEDY JR MD PLLC
- Practice address
- 403 W Oak St Ste 204
El Dorado, AR 71730-4574 - Phone
- (870) 881-9311
- Fax
- (870) 881-8588
- NPI assigned
- Nov 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Kennedy, MD
- Title
- Owner
- Phone
- (870) 881-9311
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
403 W Oak St Ste 204
El Dorado, AR 71730-4574
Mailing address
403 W Oak St Ste 204
El Dorado, AR 71730-4574
Phone (870) 881-9311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- El Dorado, AR
- NPI 1396273173
-
- Surgery Physician
- El Dorado, AR
- NPI 1093725269
-
- Gastroenterology Physician
- El Dorado, AR
- NPI 1831177468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1528937844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W OAK ST STE 204",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304574",
"telephone_number": "870-881-9311",
"fax_number": "870-881-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W OAK ST STE 204",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304574",
"telephone_number": "870-881-9311",
"fax_number": "870-881-8588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS L KENNEDY JR MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-04",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-881-9311",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, AR
- The Cove Counseling & Wellness, LLC
- The El Dorado Ar Multispecialty ASC LLC (South Arkansas Surgery Center)
- The Guinn Clinic, PLLC
- The Illumination Foundation (Pathways to Recovery)
- The Imagination Station LLC
- Benita Thomason, PHARMD
- Sanequa Thompson, APRN, FNP-C
- Tara Lee Thompson, PT, DPT
- Daniel R Thrower, MD
- Timberlane Care and Rehabilitation Center, LLC (Timberlane Health & Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.