JOHN EDWARD KIDDY JR. MS, ATC, LAT, CSCS NPI 1013172543

Specialist/Technologist, Other in Boca Raton, FL

NPI 1013172543 Individual Male Specialist/Technologist, Other

About JOHN KIDDY

John Kiddy is a provider established in Boca Raton, Florida and his medical specialization is specialist/technologist, other. The NPI number of John Kiddy is 1013172543 and was assigned on July 2008. The practitioner's primary taxonomy code is 246Z00000X with license number AL2789 (FL). The provider is registered as an individual and his NPI record was last updated 9 years ago.

John Kiddy is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1013172543

Provider Name JOHN EDWARD KIDDY JR. MS, ATC, LAT, CSCS
Provider Location Address777 GLADES RD BOCA RATON, FL 33431
Provider Mailing Address3109 SAN CLARA DR APT A DELRAY BEACH, FL 33445
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date07-24-2008
Last Update Date04-24-2012


Primary Taxonomy

Taxonomy Code246Z00000X
ClassificationSpecialist/Technologist, Other
TypeTechnologists, Technicians & Other Technical Service Providers
License No.AL2789
License StateFL
Taxonomy DescriptionGeneral classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Business Address

JOHN EDWARD KIDDY JR. MS, ATC, LAT, CSCS
777 GLADES RD
BOCA RATON, FL
ZIP 33431
Phone: (561) 297-2043
Fax: (561) 297-0468

Get Directions


Mailing Address

JOHN EDWARD KIDDY JR. MS, ATC, LAT, CSCS
3109 SAN CLARA DR APT A
DELRAY BEACH, FL
ZIP 33445
Phone:



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
03070219OTHER (01)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841377520 CARINE PORFIRI M.D.
Individual
Family Medicine777 GLADES RD FLORIDA ATLANTIC UNIVERSITY STUDENT HEALTH SERVICES
BOCA RATON, FL 33431
(561) 297-1100
1124174495DR. LAWRENCE HOWARD BRICKMAN M.D.
Individual
Surgery777 GLADES RD
BOCA RATON, FL 33431
(561) 297-4336
1174717508 MICHELE ALEX DDS
Individual
Dentist777 GLADES RD
BOCA RATON, FL 33431
(561) 297-1101
1699956540 SUSAN L FOLDEN ARNP
Individual
Nurse Practitioner777 GLADES RD SUITE 120
BOCA RATON, FL 33431
(561) 297-4406
1689842221DR. PETER JAY HOLLAND MD
Individual
Psychiatry & Neurology (Psychiatry)777 GLADES RD FAU BIO-MED
BOCA RATON, FL 33431
(561) 297-1319
1871732248DR. DOUGLAS HOYT SUTTON ARNP
Individual
Nurse Practitioner (Adult Health)777 GLADES RD COLLEGE OF NURSING - NU 322
BOCA RATON, FL 33431
(561) 297-2872
1992059877DR. GARY ROSE MD
Individual
Health Educator777 GLADES RD OFFICE 119
BOCA RATON, FL 33431
(561) 297-0675
1346682200MS. CARLINE APPLYS
Individual
Pharmacist777 GLADES RD BLDG SS8 ROOM 223
BOCA RATON, FL 33431
(561) 297-1134
1083916001 JACINTO JOSE GARRIDO ARNP B-C
Individual
Nurse Practitioner (Adult Health)777 GLADES RD
BOCA RATON, FL 33431
(561) 297-2871
1205145174DR. RAPHAEL WALD PSY.D.
Individual
Psychologist (Clinical)777 GLADES RD AZ79
BOCA RATON, FL 33431
(561) 297-0502
1255734018MRS. TERRY LEE CLARK M.ED., CCC/SLP
Individual
Speech-Language Pathologist777 GLADES RD
BOCA RATON, FL 33431
(561) 297-4026
1134510688FLORIDA ATLANTIC UNIVERSITY
Organization
Orthopaedic Surgery777 GLADES RD DEPARTMENT OF ATLHLETICS
BOCA RATON, FL 33431
(800) 555-9073
1306224688MR. JOHN BURNSIDE JR. ATC
Individual
Specialist/Technologist (Athletic Trainer)777 GLADES RD
BOCA RATON, FL 33431
(561) 297-2044
1023494051 HAROLYN HALL
Individual
Nurse Practitioner777 GLADES RD
BOCA RATON, FL 33431
(318) 547-0157
1457716417MR. ANDREW CALORE ATC
Individual
Specialist/Technologist (Athletic Trainer)777 GLADES RD
BOCA RATON, FL 33431
(561) 297-2125
1427476894DR. SANA AHMAD QURESHI
Individual
Student in an Organized Health Care Education/Training Program777 GLADES RD
BOCA RATON, FL 33431
(561) 297-4533
1760408074DR. JAMES EDWARD GALVIN MD, MPH
Individual
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)777 GLADES RD ME104, 1ST FLOOR
BOCA RATON, FL 33431
(561) 297-4793
1225520901DR. ADAM JOSEPH MANN MD
Individual
Student in an Organized Health Care Education/Training Program777 GLADES RD
BOCA RATON, FL 33431
(561) 955-3696
1639697774 EMMA JAMES HINDES
Individual
Specialist/Technologist (Athletic Trainer)777 GLADES RD
BOCA RATON, FL 33431
(561) 297-3825
1669550141 NISHA BUBNA M.D.
Individual
Obstetrics & Gynecology777 GLADES RD
BOCA RATON, FL 33431
(561) 297-3512

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.