KERRI A. KISSELL


Address: 1 Memorial Sq Ste 2200, Greenfield, IN 46140-1378
Phone: 3174626662

KERRI A. KISSELL (NPI# 1043354483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043354483
Entity Type Individual
Full Name KERRI A. KISSELL
Credential MD
Practice Address 1 Memorial Sq Ste 2200
Greenfield
IN 46140-1378
Mailing Address 1 Guthrie Sq
Sayre
PA 18840-1625
Practice Telephone 3174626662
Practice Fax Number 3174686275
Mailing Telephone 5708885858
Enumeration Date 2007-02-19
Last Update Date 2020-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine MD430427 PA Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
MD430427 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA RR MEDICARE PIN P00424192 01
PA 1019360730001 05
PA RR MEDICARE GROUP CC9269 01
NY 02889256 05
PA MEDICARE GROUP 039812 01
PA MEDICARE GROUP GU039812 01

Office Location

Street Address 1 MEMORIAL SQ STE 2200
City GREENFIELD
State IN
Zip Code 46140-1378

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497372031 Claudia I Brinkruff Dietitian, Registered 1 Memorial Sq Ste 2200, Greenfield, IN 46140-1378 2020-06-30
1427402510 Drew Dust Internal Medicine 1 Memorial Sq Ste 2200, Greenfield, IN 46140-1378 2016-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417504655 Megan Snider Nurse Practitioner 1120 S Jacobi Rd, Greenfield, IN 46140 2019-08-22
1598319048 Paul Vernon Runyan Jr. Counselor 5486 W Us Highway 40, Greenfield, IN 46140 2019-08-01
1467928457 Candace Kay Roudebush Developmental Therapist 1342 Fairview Dr, Greenfield, IN 46140 2018-10-17
1730660481 Samruddhi Dawande Physical Therapist 200 Green Meadows Drive, Greenfield, IN 46140 2018-08-21
1255794178 Claire Lubbers Nurse Practitioner 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 2016-03-29
1376905752 Justin Donat Pharmacist 2181 N West Bay Dr Apt D, Greenfield, IN 46140 2016-03-24
1265716476 Kathleen Theresa Picard-nance Pharmacist 1195 N State Street, Greenfield, IN 46140 2011-10-06
1780991513 Melinda Sue Wolfe Midwife, Lay 1929 Declaration Dr, Greenfield, IN 46140 2010-08-31
1669694287 Lifetime Dental Care of Indiana, PC Dentist 168 East New Road, Greenfield, IN 46140 2007-05-03
1790903177 Christina Renee Mcqueeney Audiologist 1834 Fields Blvd, Greenfield, IN 46140 2007-04-23
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457454894 Margaret Anne Ferry Internal Medicine 33 Riddell St, Suite 8, Greenfield, MA 01301 2006-09-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992344071 Deaconess Clinc Inc Internal Medicine 120 Se 4th St, Evansville, IN 47708-1607 2020-01-06
1568930220 Impact Physician Group, Indiana, LLC Internal Medicine 13219 N Meridian St, Carmel, IN 46032-5480 2018-11-10
1679080683 Gregory Alan Gaich Internal Medicine 5891 N New Jersey St, Indianapolis, IN 46220-2534 2017-12-29
1154833002 Endocrinology & Diabetes of Indiana LLC Internal Medicine 9240 N Meridian St Ste 240, Indianapolis, IN 46260-1876 2017-11-01
1669909388 Primariahealth, PC Internal Medicine 9365 Counselors Row Ste 210, Indianapolis, IN 46240-6418 2017-05-11
1083078943 James K Malone Internal Medicine 5256 N Illinois St, Indianapolis, IN 46208-2636 2016-04-07
1538524491 John Henry Krege Internal Medicine 12443 Pebblepointe Pass, Carmel, IN 46033-9686 2015-12-19
1619301165 Thomas Andrew Hardy Internal Medicine 1417 Stoney Creek Cir, Carmel, IN 46032-9115 2013-09-02
1356781983 Jose Francisco Caro Internal Medicine 1296 Conner St, Noblesville, IN 46060-2911 2013-06-27
1891040762 Shrikant Uttam Tamhane Internal Medicine 1050 Reid Pkwy Ste 300, Richmond, IN 47374-1155 2012-07-17
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Competitor

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City GREENFIELD
Zip Code 46140

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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