KENNETH L. KERSHBAUM MD, FACC ,LLC (NPI# 1871548834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871548834 |
| Entity Type | Organization |
| Organization Name | KENNETH L. KERSHBAUM MD, FACC ,LLC |
| Practice Address |
801 Spruce St Suite 3-e Philadelphia PA 19107-5701 |
| Practice Telephone | 2158298484 |
| Mailing Telephone | 2158298484 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH KERSHBAUM (OWNER) |
| Authorized Official Telephone | 2158298484 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD010417E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
801 SPRUCE ST SUITE 3-E |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250386 | Spruce Mri Associates | Radiology | 801 Spruce St, Philadelphia, PA 19107-5701 | 2005-07-21 |
| 1669860854 | University of Penn-medical Group | Clinic/Center | 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 | 2014-12-23 |
| 1437569993 | Diana Nointin | Student in an Organized Health Care Education/Training Program | 801 Spruce St, 10th Floor, Philadelphia, PA 19107-5701 | 2014-05-05 |
| 1700185485 | Sara Ann Folit-weinberg | Obstetrics & Gynecology | 801 Spruce St, Philadelphia, PA 19107-5701 | 2011-03-21 |
| 1275718611 | Lena Marie Flower | Nurse Practitioner | 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 | 2008-01-04 |
| 1659492122 | Univ of Penn - Ob-gyn | Obstetrics & Gynecology | 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 | 2007-04-03 |
| 1942341185 | Penncare Pennsylvania Hospitalist Associates | Non-Pharmacy Dispensing Site | 801 Spruce St, 3e, Philadelphia, PA 19107-5701 | 2007-02-09 |
| 1356496301 | Suleena Kansal Kalra | Obstetrics & Gynecology | 801 Spruce St, 7th Floor, Philadelphia, PA 19107-5701 | 2007-01-23 |
| 1407911449 | Rebecca Michelle Mazar | Obstetrics & Gynecology | 801 Spruce St, Philadelphia, PA 19107-5701 | 2006-12-27 |
| 1669554978 | Joyce Rachel Rubin | Internal Medicine | 801 Spruce St, Spruce Building, Suite 3e, Philadelphia, PA 19107-5701 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1346651130 | Chukwunweike Nwosu | Internal Medicine | 219 North Broad Street, Arnold T Berman Building, Philadelphia, PA 19107-3720 | 2014-05-14 |
| 1053736611 | Mary Osbakken | Internal Medicine | 29 W Walnut Ln, Philadelphia, PA 19144-2609 | 2014-02-19 |
| 1275969131 | Vohra Post Acute Care Physicians of The Northeast Pa | Internal Medicine | 8400 Bustleton Ave Ste 9, Philadelphia, PA 19152-1918 | 2013-09-23 |
| 1194169730 | Edward Sawyer Cooper | Internal Medicine | 6710 Lincoln Drive, Philadelphia, PA 19119 | 2013-04-25 |
| 1720322969 | Robert Alan Keisman | Internal Medicine | 300 Spring Garden St, Philadelphia, PA 19123-2932 | 2012-11-10 |
| 1497058390 | Urban Health Initiatives, Inc. | Internal Medicine | 1408 S. Broad Street, Philadelphia, PA 19146-4808 | 2010-12-15 |
| 1104133354 | Rajendra N Seth Md Associates | Internal Medicine | 5901 Summerdale Ave, Philadelphia, PA 19149-3626 | 2010-09-09 |
| 1194040436 | Paul Nicolas Fiorilli | Internal Medicine | 3400 Civic Center Blvd Fl 11, Philadelphia, PA 19104-5159 | 2010-03-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on KENNETH L. KERSHBAUM MD, FACC ,LLC.
| 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.