MARK D. KENDRICK M.D. – NPI #1306947452
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MARK KENDRICK is a physician located in PORT ORANGE, FL. NPPES has assigned the NPI number 1306947452 to MARK KENDRICK on September 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 17 years ago on Oct 29, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK KENDRICK below.

NPI Profile for
MARK D. KENDRICK

NPI Number
1306947452
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK D. KENDRICK
Credentials
M.D.
Primary location
790 DUNLAWTON AVE
SUITE E
PORT ORANGE, FL 32127-9279
Phone: (386) 760-1877 Fax: (386) 760-2791
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARK KENDRICK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHER45360FLMEDICARE GROUP
OTHERAETNAFL0575838
OTHERRAILROAD MEDICAREFL080164321
OTHERTAX ID#FL59-3667262
MEDICAIDFL080164321
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 FL ME0057676

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE - Graduated 1988
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK KENDRICK is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTHEALTH DAYTONA BEACH
      301 MEMORIAL MEDICAL PARKWAY
      DAYTONA BEACH, FL 32117
    • ADVENTHEALTH NEW SMYRNA BEACH
      401 PALMETTO ST
      NEW SMYRNA BEACH, FL 32170
    • ADVENTHEALTH ORLANDO
      601 E ROLLINS ST
      ORLANDO, FL 32803
    • HALIFAX HEALTH MEDICAL CENTER
      303 N CLYDE MORRIS BLVD
      DAYTONA BEACH, FL 32114
  • HOME HEALTH AGENCY
    • AMEDISYS HOME HEALTH
      1515 HERBERT ST STE 210
      PORT ORANGE, FL 32129
    • BROOKS REHABILITATION HOME HEALTH
      6676 CORPORATE CENTER PKWY
      JACKSONVILLE, FL 32216

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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Can I hide my NPI profile from the public?
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