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KENNETH GWINN MD NPI 1003910118


NPI Information

NPI: 1003910118
Provider Name: KENNETH GWINN, MD
Classification: Otolaryngology - 207YX0905X
Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

PECOS Registration: Yes

Address:
48681 HAYES RD
SHELBY TOWNSHIP, MI
ZIP 48315
Phone: (586) 799-1212
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Kenneth Gwinn, MD is an otolaryngology/facial plastic surgery otolaryngology in Shelby Township, MI with 39 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Kenneth Gwinn, MD NPI is 1003910118. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS MEDICAL COLLEGE
Graduation Year:1985

The provider's business location address is:

48681 HAYES RD
SHELBY TOWNSHIP, MI
ZIP 48315-403
Phone: (586) 799-1212
Fax: (586) 799-1210

The NPI 1003910118 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), Power Mobility Devices.

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.

  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Eardrum testing using ear probe (HCPCS:92567)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)

The enumeration date for this NPI number is 9/11/2006 and was last updated on 12/22/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryKG050974MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000009639OTHERMICHIGANCAPE HEALTH
2E95575MEDICARE UPIN
3131442OTHERMICHIGANPREFERRED CHOICES
40405011981OTHERMICHIGANBCBS
50P08960001MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
6C7134OTHERMICHIGANMCARE HMO
7258611OTHERMICHIGANOMNICARE

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: 5/5/2024

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.