Kenneth Mark Degraaf, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME85861 Issued in FL

Practice address

14000 Fivay Rd
Hudson, FL 34667-7103

Phone

(727) 819-2929

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)
• Capri Emergency Physicians

  • Emergency Medicine Physician
  • Hudson, FL
  • NPI 1659579233
  NPD (past)
• Community Hospital Family Practice LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Brooksville, FL
  • NPI 1902094857
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Punta Gorda, FL
  • NPI 1376592063
  NPD (past)
• Emergency Medicine of Florida, Inc.

  • Occupational Medicine Clinic/Center
  • Tampa, FL
  • NPI 1134235872
  NPD (past)
• Qed Medical Solutions, LLC

  • Emergency Medicine Physician
  • Port Charlotte, FL
  • NPI 1194880369
  NPD (past)
• Quality Drive Emergency Physicians LLC

  • Emergency Medicine Physician
  • Spring Hill, FL
  • NPI 1093998833
  NPD (past)
• St. Joseph Emergency Medical Physicians PA

  • Emergency Medicine Physician
  • Port Charlotte, FL
  • NPI 1053358903
  NPD (past)
• West Florida Trauma Network, LLC

  • Trauma Surgery Physician
  • Bradenton, FL
  • NPI 1902198948
  NPD (past)
• Mercy Urgent Care

  • Urgent Care Clinic/Center
  • Muskegon, MI
  • NPI 1861432692

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1972550333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13927 MARGO AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671341",
            "telephone_number": "941-759-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 FIVAY RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677103",
            "telephone_number": "727-819-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAAF",
        "first_name": "KENNETH",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME85861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Genowefa Dawson, MD
• Prakas Thomas Dcunha, MD
• Jessica A De Armas Moreno, RBT
• Debby'S House of Hearing LLC
• Mindy Lynn Decker, RPHT
• Jacqueline Anne Deloof
• Justin Deptula, D.O.
• Marshall Matthew Desantis, MD
• Luke Christian Detlor
• Dana M Deupree, MD

• Emergency Medicine Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.