JACQUELINE FARBER KERKOW (NPI# 1669615167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669615167 |
| Entity Type | Individual |
| Full Name | JACQUELINE FARBER KERKOW |
| Other Name | JACQUELINE HELENE FARBER |
| Practice Address |
6602 Knightdale Blvd Ste 204 Knightdale NC 27545-6525 |
| Practice Telephone | 9197825273 |
| Mailing Telephone | 9197825273 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2012-00707 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
6602 KNIGHTDALE BLVD STE 204 |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789394 | Linwood Worth Watson | Family Medicine | 6602 Knightdale Blvd, Suite 102, Knightdale, NC 27545-7130 | 2005-06-10 |
| 1538693627 | Cynthia Topley | Dietitian, Registered | 6602 Knightdale Blvd, #202, Knightdale, NC 27545-6525 | 2017-04-14 |
| 1801345855 | Tyler Giese | Social Worker | 6602 Knightdale Blvd, Suite 201, Knightdale, NC 27545-6525 | 2016-09-30 |
| 1720431372 | Melissa Stieb | Physical Therapy Assistant | 6602 Knightdale Blvd, Knightdale, NC 27545-6525 | 2016-07-19 |
| 1619303690 | Private Diagnostic Clinic, Pllc | Pediatrics | 6602 Knightdale Blvd, Suite 204, Knightdale, NC 27545-6525 | 2013-09-23 |
| 1851660807 | Gaben | Pharmacy | 6602 Knightdale Blvd, Suite 120, Knightdale, NC 27545-6525 | 2011-12-20 |
| 1790002418 | Matthew David Oettinger | Family Medicine | 6602 Knightdale Blvd, Suite 202, Knightdale, NC 27545-6525 | 2010-04-21 |
| 1811155807 | Segmia Kenna Tohnya | Pharmacist | 6602 Knightdale Blvd, Suite 120, Knightdale, NC 27545-6525 | 2008-05-28 |
| 1538358619 | Dianne Treacy Lore | Nurse Practitioner | 6602 Knightdale Blvd, Knightdale, NC 27545-6525 | 2007-10-15 |
| 1073723227 | Tracy Wogan Kendrick | Internal Medicine | 6602 Knightdale Blvd, Suite 202, Knightdale, NC 27545-6525 | 2007-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790973469 | Wake Forest Pediatric Associates, Pllc | Pediatrics | 6845 Knightdale Blvd Ste 100, Knightdale, NC 27545-9651 | 2007-10-09 |
| 1689634610 | Kristi E Woods | Pediatrics | 4019 Village Park Dr, Knightdale, NC 27545-7044 | 2006-03-24 |
| 1063901684 | Susan Chambers Hamilton | Pediatrics | 6602 Knightdale Blvd Ste 204, Knightdale, NC 27545-6567 | 2018-05-09 |
| 1619303690 | Private Diagnostic Clinic, Pllc | Pediatrics | 6602 Knightdale Blvd, Suite 204, Knightdale, NC 27545-6525 | 2013-09-23 |
| 1932231198 | Beth Anne Ulrich | Pediatrics | 4019 Village Park Dr, Knightdale, NC 27545-7044 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
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| City | KNIGHTDALE |
| Zip Code | 27545 |
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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.