NPIMap

Individual provider Active NPI

Michael F Kenner, DO

  • Obstetrics & Gynecology Physician
  • Hillsboro, OH
National Provider Identifier
1770575615
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34004486 Issued in OH
Practice address
938 W Main St
Suite 2
Hillsboro, OH 45133-7484
Phone
(937) 393-4390
Fax
(937) 393-4640
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34004486 OH Primary

Addresses

Primary practice location

938 W Main St
Suite 2
Hillsboro, OH 45133-7484

Mailing address

938 W Main St
Suite 2
Hillsboro, OH 45133-7484
Phone (937) 393-4390

Other identifiers 5

IdentifierTypeStateIssuer
2355062OtherOHRHC MEDICAID CLINIC #
363843OtherOHRHC MEDICARE CLINIC #
0688671MedicaidOH
P00665503OtherOHMEDICARE RR
311674981OtherOHOTHER FACILITY TAX ID #

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
34004486OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Health Providers Corp Obstetrics & Gynecology Past Accepting new patients
Highland Health Providers Corp Past Accepting new patients
Highland District Hospital Professional Services Corporation Past Accepting new patients
Highland District Hospital Professional Services Corporation Past Accepting new patients

Organizations & group practices 4

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1770575615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337484",
            "telephone_number": "937-393-4390",
            "fax_number": "937-393-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 W MAIN ST",
            "address_2": "SUITE 2",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337484",
            "telephone_number": "937-393-4390",
            "fax_number": "937-393-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34004486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICAID CLINIC #",
            "identifier": "2355062",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHC MEDICARE CLINIC #",
            "identifier": "363843",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0688671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00665503",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER FACILITY TAX ID #",
            "identifier": "311674981",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.