DR. MARK EUGENE KENNEDY II MD
NPI 1609450402
Anesthesiology - Pain Medicine in Ravenna, OH
About Dr. Mark Eugene Kennedy Ii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK EUGENE KENNEDY II MD (NPI 1609450402) is an individual pain medicine provider in Ravenna, Ohio, licensed in Ohio (35.153167) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mark Eugene Kennedy Ii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RAVENNA, OH 44266
RAVENNA, OH 44266
RAVENNA, OH 44266
RAVENNA, OH 44266
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Kennedy's NPI number?
The NPI number for Mark Kennedy is 1609450402. It was assigned to this individual provider in the NPPES registry on May 7, 2021.
Where is Mark Kennedy located?
Mark Kennedy practices at 6847 N Chestnut St, Ravenna, OH 44266. The listed phone number is (330) 297-0811.
What is Mark Kennedy's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Mark Kennedy enrolled in Medicare?
Yes. Mark Kennedy is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mark Kennedy was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mark Eugene Kennedy II, MD · NPI 1609450402
Pain Medicine physician in Ravenna, Ohio. Individual provider, active in the CMS NPPES registry since May 7, 2021.
## Identity
- **NPI:** 1609450402 (Entity type: Individual)
- **Enumerated:** May 7, 2021
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **State license:** 35.153167 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6847 N CHESTNUT ST, Ravenna, OH 44266-3929
- **Phone:** (330) 297-0811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609450402) · Data from the CMS NPPES public registry.