Organization Active NPI

Jamieson D. Kennedy, MD, PC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1710149406
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAMIESON D. KENNEDY, MD, PC
Practice address
2020 W Colorado Ave
Suite 203
Colorado Springs, CO 80904-3882
Phone
(719) 473-2368
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Jamieson D Kennedy, MD
Title
President / Owner
Phone
(719) 473-2368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2020 W Colorado Ave
Suite 203
Colorado Springs, CO 80904-3882

Mailing address

2020 W Colorado Ave
Suite 203
Colorado Springs, CO 80904-3882
Phone (719) 473-2368

National Provider Directory

National Provider Directory

Locations

2020 W Colorado Ave
Ste 203
Colorado Springs, CO 80904
Phone (719) 473-2368

Practitioners & affiliated clinicians

Practitioners 1

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": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1710149406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W COLORADO AVE",
            "address_2": "SUITE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043882",
            "telephone_number": "719-473-2368",
            "fax_number": "719-473-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W COLORADO AVE",
            "address_2": "SUITE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043882",
            "telephone_number": "719-473-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIESON D. KENNEDY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JAMIESON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "719-473-2368",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.