Active NPI
Pardon R. Kenney, MD
- Surgery Physician
- Boston, MA
National Provider Identifier
1619205416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 49434
- Legal business name
- PARDON R. KENNEY, MD
- Practice address
- 1153 Centre St
Faulkner Hospital, Department of Surgery
Boston, MA 02130-3446 - Phone
- (617) 983-7212
- NPI assigned
- Dec 7, 2009
- 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
- Pardon R. Kenney, MD
- Title
- Owner
- Phone
- (617) 983-7212
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 | 49434 | MA | Primary |
Addresses
Primary practice location
1153 Centre St
Faulkner Hospital, Department of Surgery
Boston, MA 02130-3446
Mailing address
PO Box 9132
Brookline, MA 02446-9132
Phone (800) 927-0002
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Boston, MA
- NPI 1164403606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260144000000",
"number": "1619205416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9132",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469132",
"telephone_number": "800-927-0002",
"fax_number": "603-893-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"address_2": "FAULKNER HOSPITAL, DEPARTMENT OF SURGERY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-983-7212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARDON R. KENNEY, MD",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-07",
"status": "A",
"authorized_official_last_name": "KENNEY",
"authorized_official_first_name": "PARDON",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-983-7212",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MA",
"license": "49434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.