Kenneth A Orchard, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28715 Issued in TN

Practice address

1035 Valley Stream Dr
Pingree Grove, IL 60140-9137

Phone

(615) 260-5205

NPI assigned

Mar 29, 2007

Last updated

Oct 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apothecary Inc

  dba Val-U-Pharmacy

  • Pharmacist
  • Johnson City, TN
  • NPI 1437169174
  NPD (past)
• Doctor's Care Inc

  • Primary Care Clinic/Center
  • Johnson City, TN
  • NPI 1720083918
  NPD (past)
• Tennessee Urgent Care Associates, LLC

  • Urgent Care Clinic/Center
  • Nashville, TN
  • NPI 1548258825
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1891814653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 VALLEY STREAM DR",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601409137",
            "telephone_number": "615-260-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 VALLEY STREAM DR",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601409137",
            "telephone_number": "615-260-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6606 Charlotte Pike",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372094251",
            "country_code": "US",
            "telephone_number": "615-630-6095",
            "fax_number": "615-630-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORCHARD",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "28715",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "28715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MCRPTAN",
            "identifier": "103I082013",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Mensching, ATC, RN
• Dianne Joy Mindac, BEHAVIOR TECHNICIAN
• Northwest Dentiq Center P.C. (Pingree Smile Center)
• Nursetalk Mental Wellness LLC
• Kelly E O'Keefe, LCSW
• Passionate Private Duty, LLC
• Jignesh Patel, DDS
• Brittany Peterman
• PF Development 5, LLC (CenterWell Home Health II)
• Emily Kate Rossman, ATC

• Family Medicine Physician in Pingree Grove, IL
• Providers in Pingree Grove, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.