Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932101532 Individual Practitioner Male Practitioner

Dr. Kenneth D Hawn , MD

Pediatrics • Waterloo, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Hawn, MD is a registered healthcare professional specializing in Pediatrics in Waterloo, IL. Practice services are available at 509 HAMACHER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

509 Hamacher St
Suite 103

Waterloo, IL 622981592

Telephone 6189392273
Fax 6189390245
Associated Practice Facility / Clinic
🏢 Foot & Ankle Center, Llc Facility NPI 1275546962

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Waterloo, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Waterloo, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036135043

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AR E-4451

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 2003018920

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
157028001 (AR)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Sarah Sandoval , NP

Nurse Practitioner - Family

NPI 1093224438

Nurse Practitioner

Elisha Schnieders , CPNP

Nurse Practitioner - Pediatrics

NPI 1093978678

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2014

Registered at 509 HAMACHER ST, SUITE 103, WATERLOO, IL 622981592 (Tel: 6189392273)

📍
Updated Business Mailing Address August 27, 2014

Registered at 509 HAMACHER ST, SUITE 103, WATERLOO, IL 622981592 (Tel: 6189392273)

👤
Provider Name / Credentials Updated August 27, 2014

Recorded as KENNETH HAWN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2014

Pediatrics (License #036135043 in IL)

🟢
Initial NPI Registration & Enumeration August 12, 2005

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: 1932101532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2005
Last Update: August 27, 2014
Sole Proprietor: No

Mailing Address

509 Hamacher St, Suite 103

Waterloo, IL 622981592

Phone: 6189392273

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.