JAY KERNUS (NPI# 1962441048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962441048 |
| Entity Type | Individual |
| Full Name | JAY KERNUS |
| Credential | DO |
| Practice Address |
10101 W Forest Hill Blvd Wellington FL 33414-6103 |
| Mailing Address |
Po Box 24085 Fort Worth TX 76124-1085 |
| Practice Telephone | 5617988535 |
| Mailing Telephone | 8174514208 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS8488 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00287847 | 01 |
| FL | BLUECROSS BLUE SHIELD | 03117 | 01 |
| FL | 262064200 | 05 |
| Street Address |
10101 W FOREST HILL BLVD |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078702 | Wellington Regional Medical Center LLC | General Acute Care Hospital | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2005-10-21 |
| 1245549260 | Renato Rivera Morales | Nurse Anesthetist, Certified Registered | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2010-09-27 |
| 1700119948 | Kanwal Akhtar-kamal | Internal Medicine | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2009-09-04 |
| 1194843276 | Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2007-03-27 |
| 1255344776 | William P Agocs | Physician Assistant | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-08-14 |
| 1649202961 | Blake L Kendall | Emergency Medicine | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-07-07 |
| 1487690897 | Donald R Montgomery Jr. | Emergency Medicine | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-06-22 |
| 1215982657 | Gregory A Somich | Emergency Medicine | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-05-24 |
| 1659326080 | David Michael Soria | Emergency Medicine | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-05-24 |
| 1396797056 | Adam Mandel | Radiology | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255663431 | Andrew Omoh Agbi | Emergency Medicine | 2542 Cooper Way, Wellington, FL 33414-3412 | 2010-02-12 |
| 1154659829 | Elangeles Services, Inc | Emergency Medicine | 2333 Stony Brook Drive, Wellington, FL 33414 | 2009-11-18 |
| 1407893316 | Preferred Hospital Leasing Inc | Emergency Medicine | 1011 15th St, Wellington, TX 79095-3704 | 2006-05-31 |
| 1699743666 | Mark Remz | Emergency Medicine | 14292 Greentree Trl, Wellington, FL 33414-4046 | 2006-03-08 |
| 1982958120 | Wellington Inpatient Specialists Pllc | Emergency Medicine | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2012-11-08 |
| 1518163658 | James William Rodriguez | Emergency Medicine | 13421 S Shore Blvd Ste 101, Wellington, FL 33414-7210 | 2007-06-25 |
| 1962616367 | Adam Michael Bromberg | Emergency Medicine | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2007-05-09 |
| 1649202961 | Blake L Kendall | Emergency Medicine | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-07-07 |
| 1487690897 | Donald R Montgomery Jr. | Emergency Medicine | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-06-22 |
| 1215982657 | Gregory A Somich | Emergency Medicine | 10101 W Forest Hill Blvd, Wellington, FL 33414-6103 | 2006-05-24 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.