DR. RUSSELL RONALD KERSHEN (NPI# 1295915049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295915049 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL RONALD KERSHEN |
| Credential | D.C. |
| Practice Address |
1701 5th Ave Canyon TX 79015-3834 |
| Practice Telephone | 8066558777 |
| Practice Fax Number | 8066558790 |
| Mailing Telephone | 8066558777 |
| Mailing Fax Number | 8066558790 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2010-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC6700 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8AJ757 | 01 |
| TX | RAILROAD MEDICARE | P00059871 | 01 |
| TX | 001855801 | 05 |
| Street Address |
1701 5TH AVE |
| City | CANYON |
| State | TX |
| Zip Code | 79015-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750654984 | West Texas Regenerative Medicine Clinic | Chiropractor | 1701 5th Ave, Ste A, Canyon, TX 79015-3834 | 2012-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194195826 | Melani Kelly | Specialist/Technologist | 702 3rd Avenue, Canyon, TX 79015 | 2015-10-07 |
| 1063846111 | Erin Ann Park | Physical Medicine & Rehabilitation | 907 23rd St., Canyon, TX 79015 | 2013-08-26 |
| 1003177197 | True Blessings LLC | Home Health | 1317 4th Avenue, Canyon, TX 79015 | 2012-06-05 |
| 1245460625 | Gloria Lewis | Nurse Practitioner | 1619 4th Ave, Canyon, TX 79015 | 2009-07-21 |
| 1376669861 | Assisted Living Concepts Inc | Assisted Living Facility | 2 Cottonwood Lane, Canyon, TX 79015 | 2007-03-22 |
| 1376568642 | D'aun Chrie Bowers | Emergency Medicine | 500 20th St, Canyon, TX 79015 | 2006-07-13 |
| 1760931497 | Kershen Health Services | Physical Therapist | 1613 4th Ave, Canyon, TX 79015 | 2016-09-22 |
| 1568730034 | Katherine Sheri Rogers | Physical Therapist | 15 Hospital Drive, Canyon, TX 79015 | 2011-12-12 |
| 1437273158 | Tommy W Brian I | Nurse Practitioner | 911 23rd St, Canyon, TX 79015 | 2007-03-19 |
| 1194377754 | Emily Collins | Occupational Therapist | 18 Case Ln, Canyon, TX 79015-1796 | 2019-07-14 |
| Find all providers in zip 79015 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205171717 | Robert M West | Chiropractor | 1423 Creekmere Dr, Canyon, TX 79015-5227 | 2012-12-10 |
| 1083791602 | Kevin E. Raef | Chiropractor | 402 15th St, Canyon, TX 79015-3839 | 2006-11-01 |
| 1639281496 | Kershen Chiropractic Pa | Chiropractor | 1613 4th Ave, Canyon, TX 79015-3824 | 2006-08-31 |
| 1922031947 | William Curtis Braudt | Chiropractor | 2306 7th Ave, Canyon, TX 79015-4742 | 2006-07-10 |
| 1750654984 | West Texas Regenerative Medicine Clinic | Chiropractor | 1701 5th Ave, Ste A, Canyon, TX 79015-3834 | 2012-02-19 |
| 1659554780 | Nancy Hinders Dc Pa | Chiropractor | 2306 7th Ave, Canyon, TX 79015-4742 | 2007-12-12 |
| 1629251764 | William C. Braudt, P.a. | Chiropractor | 2306 7th Ave, Canyon, TX 79015-4742 | 2007-12-12 |
| 1235164591 | Nancy Kay Hinders | Chiropractor | 2306 7th Ave, Canyon, TX 79015-4742 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1891395166 | Henry Pham | Chiropractor | 8900 Lakes At 610 Dr Apt 322, Houston, TX 77054-2881 | 2020-10-27 |
| 1922607118 | Michael Anthony Arroyo | Chiropractor | 2205 W Lincoln St, Harlingen, TX 78552-5921 | 2020-10-20 |
| 1003415126 | Return To Health LLC | Chiropractor | 4474 Spring Valley Rd, Farmers Branch, TX 75244-3703 | 2020-10-20 |
| 1124627286 | Kirsten Rene Parker | Chiropractor | 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 | 2020-10-20 |
| 1659970978 | Madison De Hoyos | Chiropractor | 930 Hilltop Dr Ste 102, Weatherford, TX 76086-5943 | 2020-10-19 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1659979276 | Shawn Brown | Chiropractor | 9910 Huebner Rd Ste 150, San Antonio, TX 78240-1399 | 2020-10-15 |
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| 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.