JEFFERY JUSTIN KERN (NPI# 1194713701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194713701 |
Entity Type | Individual |
Full Name | JEFFERY JUSTIN KERN |
Credential | PA-C |
Practice Address |
104 Physicians Park Dr Rockingham NC 28379-5204 |
Mailing Address |
Po Box 843013 Boston MA 02284-3013 |
Practice Telephone | 9108951989 |
Practice Fax Number | 9108959666 |
Mailing Telephone | 9108951989 |
Mailing Fax Number | 9108959666 |
Enumeration Date | 2005-10-07 |
Last Update Date | 2014-10-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103521 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | STATE LICENSE | 103521 | 01 |
Street Address |
104 PHYSICIANS PARK DR |
City | ROCKINGHAM |
State | NC |
Zip Code | 28379-5204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316091325 | Ernesto M Tamez Jr. | Physician Assistant | 104 Physicians Park Dr, Rockingham, NC 28379-5204 | 2007-01-23 |
1811916679 | James Mitchell Hibbard | Physician Assistant | 104 Physicians Park Dr, Rockingham, NC 28379-5204 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
Find all providers in zip 28379 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023413051 | Eagle Rising Health Services | Physician Assistant | 1025 Rockingham Rd, Rockingham, NC 28379-4356 | 2014-11-04 |
1124586540 | Kayla Ann Jones Jones | Physician Assistant | 1046 Tulip Ter, Rockingham, VA 22801-5324 | 2019-03-05 |
1720588155 | Patricia Nicole Caldwell | Physician Assistant | 2010 Health Campus Dr, Rockingham, VA 22801-8679 | 2018-02-12 |
1790148476 | Johanne Durbin | Physician Assistant | 2010 Health Campus Dr, Rockingham, VA 22801-8679 | 2016-03-31 |
1134499981 | Blake L. Brown | Physician Assistant | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2012-01-11 |
1811916679 | James Mitchell Hibbard | Physician Assistant | 104 Physicians Park Dr, Rockingham, NC 28379-5204 | 2006-07-19 |
1992779466 | Emily Nan Phillips | Physician Assistant | 125 Biltmore Dr, Suite #2, Rockingham, NC 28379-4994 | 2006-02-14 |
1194796508 | Lois P Hanna | Physician Assistant | 2006 Health Campus Dr, Rockingham, VA 22801-8679 | 2006-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
Find all providers with the same taxonomy |
City | ROCKINGHAM |
Zip Code | 28379 |
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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.