John Wayne Kennedy, MD
John Wayne Kennedy is a General Practice Physician provider (General Practice) practicing in Marion, IN, registered in the NPPES registry with NPI 1780665448 since 2005. The credential MD stands for Doctor of Medicine. Practices at Marion Occupational Medicine LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780665448 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | John Wayne Kennedy |
| Credential | MD |
| Sex | Male |
| Practice address | 1614 N BALDWIN AVE, Marion, IN, 46952 |
| Phone | 7656649000 |
| Fax | 7653911521 |
| Enumeration date | 2005-11-09 |
| Last updated in NPPES | 2013-02-15 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Secondary | 01022780 | IN |
| 208D00000X | General Practice Physician | Primary | 01022780A | IN |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000576122 | Other | IN | BCBS |
| 000000697935 | Other | IN | BCBS |
| 100123680 | Medicaid | IN | — |
| 000000286588 | Other | IN | ANTHEM BCBS |
Copy-ready billing details
Provider: John Kennedy, MD NPI: 1780665448 Taxonomy: 208D00000X (General Practice Physician) Address: 1614 N BALDWIN AVE, Marion, IN, 46952
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144296781 | Subodh Gupte | Individual | Cardiovascular Disease Physician | Marion, IN |
| 1225332315 | Marion Occupational Medicine LLC | Organization | Family Medicine Physician | Marion, IN |
| 1093193955 | Pamela Billiter-Yoder | Individual | Family Nurse Practitioner | Marion, IN |
| 1851744536 | Maria Ipo-Miller | Individual | Physical Therapist | Marion, IN |
Verify this record
Cross-check NPI 1780665448 against the authoritative CMS record: view John Wayne Kennedy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-02-15.