Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth John, MD

Individual provider Critical Care Medicine (Anesthesiology) Physician · NPI 1396302147

Dr. Kenneth John, MD is an Anesthesiology in Gainesville, Florida. Graduated from Pennsylvania State University College of Medicine in 2019, 7 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Rhode Island.

Years since qualifying
7
Trained at
Pennsylvania State University College of Medicine
Licensed in
FL, RI
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-4923
Phone: (139) 630-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 University Dr, Hershey, PA 17033-2360 — (717) 531-0000
  • 593 Eddy St, Providence, RI 02903-4923 — (401) 606-4286

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME168470 (FL)
Critical Care Medicine (Anesthesiology) Physician Taxonomy 207LC0200X · Licence ME168470 (FL)
Anesthesiology Physician Taxonomy 207L00000X · Licence LP04885 (RI)

Record details

NPI number1396302147
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 28, 2019
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address593 Eddy St, Providence, RI 02903-4923

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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