DR. GEORGE WALLACE KERNODLE JR. (NPI# 1609896794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609896794 |
| Entity Type | Individual |
| Full Name | DR. GEORGE WALLACE KERNODLE JR. |
| Credential | M.D. |
| Practice Address |
1234 Huffman Mill Rd Burlington NC 27215-8700 |
| Mailing Address |
Po Box 1717 Burlington NC 27216-1717 |
| Practice Telephone | 3365381234 |
| Practice Fax Number | 3365382390 |
| Mailing Telephone | 3365381234 |
| Mailing Fax Number | 3365382390 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
27474 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8948641 | 05 |
| Street Address |
1234 HUFFMAN MILL RD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068004 | Vishwanath Hande | Internal Medicine | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2005-07-27 |
| 1528667870 | Delicia M White | Nurse Practitioner | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2020-10-19 |
| 1215542378 | Anna Michelle Mackie | Midwife | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2020-09-14 |
| 1477191500 | Erin Redmond Webb | Physical Therapist | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2019-12-19 |
| 1912542911 | Michelle Jeanine Lacayo | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2019-11-13 |
| 1457906877 | John Scott Guthrie | Physical Therapist | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2019-08-02 |
| 1982170445 | Granville Mason Croley | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2018-10-22 |
| 1780162016 | Margaret Haviland | Advanced Practice Midwife | 1234 Huffman Mill Rd, Burlington, NC 27215-8777 | 2018-07-30 |
| 1164912796 | Amanda Assunta Ferri | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2018-05-18 |
| 1578069258 | Jason Hestle Whitaker | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2018-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982040630 | Richard Scott Zamore | Internal Medicine | 41 Mall Road, Lahey Hospital & Medical Center, Burlington, MA 01805-0001 | 2013-05-21 |
| 1790047520 | Sarita Konka | Internal Medicine | 41 Mall Road, Burlington, MA 01805 | 2012-06-07 |
| 1609193184 | Scott Daniel Legunn | Internal Medicine | 111 Colchester Ave., Uvm Medical Center - Medicine/rheumatology, Burlington, VT 05401 | 2010-04-23 |
| 1437387768 | Christele Behalal-bock | Internal Medicine | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2009-06-25 |
| 1619119047 | Weihong Yang | Internal Medicine | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2009-03-31 |
| 1932385002 | Matthew Axelrod | Internal Medicine | 41 Mall Rd., Lahey Clinic, Burlington, MA 01805-0001 | 2008-01-18 |
| 1750415063 | Nicole R Hynes | Internal Medicine | 111 Colchester Ave, Rheumatology Acc 5th Floor, Burlington, VT 05401-1473 | 2007-03-16 |
| 1225121965 | Alpana Motilal Dhar | Internal Medicine | 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1144311226 | Sharon Katz | Internal Medicine | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-27 |
| 1982710950 | Chi Chi Lau | Internal Medicine | 111 Colchester Ave, East Pavilion, Level 5, Rheumatology, Burlington, VT 05401-1473 | 2006-08-22 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
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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.