Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1689633745 Deactivated / Inactive NPI Male Practitioner

Dr. John S Kennerdell , MD

Ophthalmology • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Kennerdell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 18, 2006
NPI Deactivation Date October 12, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. John Kennerdell, MD was a registered Ophthalmology practicing in Jacksonville, FL. Throughout an active medical career spanning 11 years, Dr. Kennerdell provided care at the practice location at 580 W 8TH ST until profile deactivation on 2017-10-12.

Practice Location & Contact Primary Location

Practice Address

580 W 8th St
Ufjp Ophthalmology

Jacksonville, FL 322096533

Telephone 9042449390
Fax 9042449391
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.4 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
89 Specialists

Practicing in Jacksonville, FL (1686 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME10291

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Rajiv Raman

Ophthalmology

NPI 1093516296
NPI 1144331893

Doctor of Medicine (M.D.)

NPI 1669855441

Doctor of Medicine (M.D.)

Dr. John Hunt , MD

Ophthalmology

NPI 1952864555

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 12, 2017

Record deactivated on October 12, 2017

NPI Profile Active December 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 18, 2009

Registered at 580 W 8TH ST, UFJP OPHTHALMOLOGY, JACKSONVILLE, FL 322096533 (Tel: 9042449390)

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Updated Business Mailing Address December 18, 2009

Registered at PO BOX 44008, UFJP OPHTHALMOLOGY, JACKSONVILLE, FL 322314008

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Provider Name / Credentials Updated December 18, 2009

Recorded as JOHN KENNERDELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2009

Ophthalmology (License #ME10291 in FL)

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Initial NPI Registration & Enumeration March 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689633745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2006
Last Update: December 18, 2009
Deactivation Date: October 12, 2017

Mailing Address

Po Box 44008, Ufjp Ophthalmology

Jacksonville, FL 322314008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.