MRS. HEATHER TENBROCK KERN (NPI# 1164497087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164497087 |
Entity Type | Individual |
Full Name | MRS. HEATHER TENBROCK KERN |
Credential | PA |
Practice Address |
552a Lancaster Ave Berwyn PA 19312-1635 |
Practice Telephone | 6106447100 |
Practice Fax Number | 6106447111 |
Mailing Telephone | 6106447100 |
Mailing Fax Number | 6106447111 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2012-02-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | OA002074 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA051627 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
552A LANCASTER AVE |
City | BERWYN |
State | PA |
Zip Code | 19312-1635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437445483 | Collaboration Health | Internal Medicine | 552a Lancaster Ave, Berwyn, PA 19312-1635 | 2011-06-28 |
1972801744 | John Aaron Mckinley | Physician Assistant | 552a Lancaster Ave, Berwyn, PA 19312-1635 | 2011-03-03 |
1275860249 | Doctors Best Immediate Medical Care Inc | Clinic/Center | 552a Lancaster Ave, Berwyn, PA 19312-1635 | 2009-11-11 |
1265523393 | Jeanne Rubenstone | Emergency Medicine | 552a Lancaster Ave, Berwyn, PA 19312-1635 | 2006-09-27 |
1912914649 | Geoffrey Winkley | Emergency Medicine | 552a Lancaster Ave, Berwyn, PA 19312-1635 | 2006-08-02 |
1528034071 | Donald Desantis | Surgery | 552a Lancaster Ave, Berwyn, PA 19312-1635 | 2006-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770113847 | Theresa Marie Estrada | Dietitian, Registered | 534 Howellville Rd., Berwyn, PA 19312 | 2020-01-17 |
1407279664 | True Care Medical Transport LLC | Ambulance | 1189 Lancaster Ave, Berwyn, PA 19312 | 2014-01-23 |
1124440730 | Sofie Heyman | Marriage & Family Therapist | 1034 Beaumont Rd, Berwyn, PA 19312 | 2014-01-16 |
1437303880 | Megan O'keefe | Occupational Therapist | 622 First Ave., Berwyn, PA 19312 | 2008-11-12 |
1235383084 | Working Together Inc. | Naturopath | 411 E. Lancaster Ave., Wayne, PA 19312 | 2008-11-06 |
1750559050 | Kenneth Kondracki | Pharmacist | 450 Mw Swedesford Rd, Berwyn, PA 19312 | 2008-02-20 |
1962624312 | John B Fitzgerald IIi | Dentist | 1201 W Swedesford Road, Berwyn, PA 19312 | 2007-05-03 |
1760607576 | Kathleen Jane Ramsdell | Occupational Therapist | 2 Harrow Lane, Berwyn, PA 19312 | 2007-04-16 |
1679604979 | Matthew Lewullis | Family Medicine | 1001 Chesterbrook Boulevard, Berwyn, PA 19312 | 2007-03-08 |
1962550996 | Christine Marie Specht | Registered Nurse | 1199 Lancaster Avenue, Suite 106, Berwyn, PA 19312 | 2007-01-08 |
Find all providers in zip 19312 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851801187 | Yui Okamura | Physician Assistant | 6447 Cermak Rd Ste 100, Berwyn, IL 60402-2311 | 2017-09-30 |
1477040467 | Rachel Elizabeth Vandyken | Physician Assistant | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2018-04-16 |
1154717916 | Feng Wen | Physician Assistant | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2015-04-08 |
1730573809 | Alecia Boeder | Physician Assistant | 3231 S. Euclid Ave, Suite 201, Berwyn, IL 60402-3472 | 2015-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
Find all providers with the same taxonomy |
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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.