STEPHEN D. KENNEDY D.O. – NPI #1700885498
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

STEPHEN KENNEDY is a physician located in SOUTH BEND, IN. NPPES has assigned the NPI number 1700885498 to STEPHEN KENNEDY on July 15, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. 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 7 years ago on Feb 22, 2019. 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 STEPHEN KENNEDY below.

NPI Profile for
STEPHEN D. KENNEDY

NPI Number
1700885498
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
STEPHEN D. KENNEDY
Credentials
D.O.
Primary location
5838 W BRICK RD STE 106
SOUTH BEND, IN 46628
Phone: (574) 247-1911 Fax: (574) 247-1912
2 Other location(s):
1415 Lincoln Way W
Suite O
Osceola, IN 46561-2062
Phone: (574) 674-6499
Fax: (574) 674-6490
2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Phone: (269) 349-8386
Fax: (269) 349-8397
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for STEPHEN KENNEDY

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.

DescriptionIssuerStateIdentifier
MEDICAIDIN200081840A
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)		 MI 5101013733

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

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
STEPHEN KENNEDY is affiliated with the following medical group(s):
  • HOSPITAL
    • LAKELAND HOSPITAL, ST JOSEPH
      1234 NAPIER AVENUE
      ST JOSEPH, MI 49085
  • HOME HEALTH AGENCY
    • ELARA CARING
      813 N PORTER CAMPUS DRIVE, SUITE E & F
      VALPARAISO, IN 46383
    • HOME CARE SERVICES OF NORTHWEST INDIANA
      240 COMMERCE SQUARE DRIVE
      MICHIGAN CITY, IN 46360
    • INDIANA HOMECARE NORTHWEST
      300 LEGACY PLAZA WEST
      LA PORTE, IN 46350
    • MICHIANA HOME CARE
      51099 BITTERSWEET ROAD, SUITE E
      GRANGER, IN 46530
    • SAINT JOSEPH VNA HOME CARE
      3838 N MAIN STREET, SUITE 100
      MISHAWAKA, IN 46545
  • HOSPICE
    • GRACE HOSPICE
      5838 WEST BRICK RD, SUITE 101
      SOUTH BEND, IN 46628

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