KENNETH GWINN MD – NPI #1003910118
Otolaryngology
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
KENNETH GWINN is an otolaryngologist located in SHELBY, MI. NPPES has assigned the NPI number 1003910118 to KENNETH GWINN on September 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery
The NPI profile was previously updated about 14 years ago on Dec 22, 2011. 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 KENNETH GWINN below.
NPI Profile for
KENNETH GWINN
(about 20 years ago)
SHELBY, MI 48315-4403 Phone: (586) 799-1212 Fax: (586) 799-1210
Identifiers for KENNETH GWINN
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
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS | MI | 0405011981 |
| OTHER | CAPE HEALTH | MI | 000000009639 |
| OTHER | MCARE HMO | MI | C7134 |
| OTHER | OMNICARE | MI | 258611 |
| OTHER | PREFERRED CHOICES | MI | 131442 |
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 |
|---|---|---|
| 207YX0905X - Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary) |
MI | KG050974 |
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
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
KENNETH GWINN is affiliated with the following medical group(s):
- HOSPITAL
- ASCENSION ST JOHN HOSPITAL22101 MOROSS RD
DETROIT, MI 48236 - BEAUMONT HOSPITAL, TROY44201 DEQUINDRE ROAD
TROY, MI 48085 - HENRY FORD MACOMB HOSPITAL15855 NINETEEN MILE RD
CLINTON TOWNSHIP, MI 48038
- ASCENSION ST JOHN HOSPITAL22101 MOROSS RD
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See the complete CMS Data Dissemination Notice here.