DR. JOSEPH THEODORE CERNICH


Address: 3101 Broadway Blvd, Kansas City, MO 64111-2659
Phone: 8169608000

DR. JOSEPH THEODORE CERNICH (NPI# 1568412377) 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) 1568412377
Entity Type Individual
Full Name DR. JOSEPH THEODORE CERNICH
Credential M.D.
Practice Address 3101 Broadway Blvd
Kansas City
MO 64111-2659
Mailing Address 2401 Gillham Rd
Kansas City
MO 64108-4619
Practice Telephone 8169608000
Practice Fax Number 8169608046
Mailing Telephone 8162343000
Enumeration Date 2006-05-11
Last Update Date 2016-02-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 04-29903 KS Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics 2003000631 MO Allopathic & Osteopathic Physicians
N 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
04-29903 KS Allopathic & Osteopathic Physicians
N 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
2003000631 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 209246305 05

Office Location

Street Address 3101 BROADWAY BLVD
City KANSAS CITY
State MO
Zip Code 64111-2659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083619837 Chris D Stone Internal Medicine 3101 Broadway Blvd, Kansas City, MO 64111-2659 2005-06-17
1013556661 Taylor Kramer Speech-Language Pathologist 3101 Broadway Blvd, Kansas City, MO 64111-2659 2019-12-31
1548810526 Stephanie Kara Grote Nurse Practitioner 3101 Broadway Blvd, Kansas City, MO 64111-2659 2019-09-12
1306402052 Whitney Root Speech-Language Pathologist 3101 Broadway Blvd, Kansas City, MO 64111-2659 2019-05-17
1780247247 Misty M Smith Nurse Practitioner 3101 Broadway Blvd, Kansas City, MO 64111-2659 2019-04-19
1700342466 Sabetha Young Dietitian, Registered 3101 Broadway Blvd, Kansas City, MO 64111-2659 2019-02-18
1811475577 Lydia Muja Jobickson Audiologist 3101 Broadway Blvd, Kansas City, MO 64111-2659 2018-08-03
1801389440 Bailey Kay Pepperdine Audiologist 3101 Broadway Blvd, Kansas City, MO 64111-2659 2018-06-08
1730676933 Alannah K Yoder Pharmacist 3101 Broadway Blvd, Kansas City, MO 64111-2659 2018-04-13
1184147092 Callie Chagas Dietitian, Registered 3101 Broadway Blvd, Kansas City, MO 64111-2659 2017-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184242810 Kristen Casey Psychologist 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 2020-07-09
1336765015 Tyler Hoelting Chiropractor 3611 Main Street, Kansas City, MO 64111 2020-06-18
1003452764 Sarah Anne Heavey Nurse Practitioner 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 2019-11-18
1558844241 Guardian Angels, LLC Home Health 4049 Pennsylvania Ave, Kansas City, MO 64111 2018-09-10
1730669169 Hannah Eagleburger Physician Assistant 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 2018-08-15
1316460835 Kandace Callwell Counselor 4106 Baltimore Ave, Kansas City, MO 64111 2017-07-18
1780046250 Sara Koenemann Nurse Practitioner 4400 Broadway St., Ste. 520, Kansas City, MO 64111 2016-03-24
1932586245 Suzzette Griffith Acupuncturist 406 W 34th Street Ste 812, Kansas City, MO 64111 2015-05-06
1972999225 Timothy O Olatunde Emergency Medicine 4410 Wornall Road, Kansas City, MO 64111 2015-04-14
1730595026 Morgan Nelson Audiologist 4230 Wornall Road, Suite 420, Kansas City, MO 64111 2014-07-07
Find all providers in zip 64111

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134780430 Jane Reardon Pediatrics 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 2019-06-26
1326548579 Clarissa Ryan Gillen Pediatrics 9140 Ward Pkwy Ste 201, Kansas City, MO 64114-3327 2018-02-14
1306363858 Children's Mercy - Redwood Pediatrics Pediatrics 9151 Ne 81st St, Suite 240, Kansas City, MO 64158-1307 2017-08-25
1811438013 Lauren Hughes Pediatrics 2870 W 47th Ave, Kansas City, KS 66103-3243 2017-03-20
1033592795 Kubra Melike Bozkanat Pediatrics University of Kansas Hospital Pediatrics, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160-0001 2015-06-30
1821417965 Angela Kay Linz Pediatrics 4400 Broadway Ste 206, Kansas City, MO 64111-3342 2014-04-15
1669890620 Michelle Marie Knoll Pediatrics 3101 Broadway Blvd Ste 900, Kansas City, MO 64111 2014-04-06
1477971141 Michael Bradley Nelson Pediatrics 2000 Olathe # 3b, Kansas City, KS 66160-2620 2014-03-31
1104243245 Kelstan Lynch Ellis Pediatrics University of Kansas Pediatrics Residency, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160 2014-03-26
1215374244 Jennifer Isham Pediatrics 1004 Carondelet Dr Ste 310, Kansas City, MO 64114-4801 2013-05-31
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Competitor

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City KANSAS CITY
Zip Code 64111

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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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