Provider Type Icon

DR. MARSHAL TERRANCE KENNEDY DPM NPI 1639398845


NPI Information

NPI: 1639398845
Provider Name: DR. MARSHAL TERRANCE KENNEDY, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2775 SE POWELL VALLEY RD
GRESHAM, OR
ZIP 97080
Phone: (503) 667-7789
Get Directions

DR. Marshal Terrance Kennedy, DPM is a podiatrist in Gresham, OR with 43 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Marshal Terrance Kennedy, DPM NPI is 1639398845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1981

The provider's business location address is:

2775 SE POWELL VALLEY RD
GRESHAM, OR
ZIP 97080-475
Phone: (503) 667-7789
Fax: (503) 667-2032

The NPI 1639398845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 4/25/2007 and was last updated on 11/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristDP00139OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1283523MEDICAIDOREGON
2T67787MEDICARE UPIN
3R0000SGBFVMEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.