VINCENT E KERSHAW (NPI# 1992926497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992926497 |
| Entity Type | Individual |
| Full Name | VINCENT E KERSHAW |
| Credential | MD |
| Practice Address |
2915 Grant Street Omaha NE 68111 |
| Mailing Address |
Po Box 30019 2915 Grant Street Omaha NE 68111 |
| Practice Telephone | 4024531433 |
| Practice Fax Number | 4024582061 |
| Mailing Telephone | 4024531433 |
| Mailing Fax Number | 4024582061 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
10847 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47066671500 | 05 |
| Street Address |
2915 GRANT STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255302170 | Charles Drew Health Center, Inc | Clinic/Center | 2915 Grant Street, Omaha, NE 68111-3863 | 2006-01-30 |
| 1770954687 | Connie Sue Radke | Nurse Practitioner | 2915 Grant Street, Omaha, NE 68111-3863 | 2015-10-19 |
| 1053422303 | Erin C Wetzel | Dentist | 2915 Grant Street, Omaha, NE 68111-3863 | 2006-08-31 |
| 1952418022 | Arlana R Phillips | Pediatrics | 2915 Grant Street, Omaha, NE 68103 | 2006-08-24 |
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
| 1699784066 | Tracy R Harrison | Clinical Nurse Specialist | 2915 Grant Street, Omaha, NE 68111 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1629529052 | Alexis Rae Mcgary | Speech-Language Pathologist | 4304 North 33rd Street, Omaha, NE 68111 | 2016-10-20 |
| 1811247299 | St Benedict The Moor Catholic Church | Social Worker | 2423 Grant St, Omaha, NE 68111 | 2012-09-13 |
| 1699926337 | Lizabeth A Post | Counselor | 4410 N 36th, Omaha, NE 68111 | 2008-09-30 |
| 1043639594 | Victoria Lynne Cassidy | Counselor | 4318 Fort St, Omaha, NE 68111 | 2014-04-14 |
| 1215232517 | Karen R Allington | Counselor | 3483 Larimore Ave, Omaha, NE 68111 | 2011-01-18 |
| 1396365458 | Shaun M Metoyer | Contractor | 6344 N 36th St, Omaha, NE 68111-1110 | 2020-04-19 |
| 1922464239 | Brooke Bertling | Speech-Language Pathologist | 3775 Curtis Ave, Omaha, NE 68111-1169 | 2016-01-04 |
| 1629385331 | Charles Drew Health Center, Inc | Counselor | 3775 Curtis Avenue, Omaha, NE 68111-1169 | 2010-09-02 |
| 1881169274 | Leslie Ann Gleaves | Registered Nurse | 3775 Curtis Ave, Omaha, NE 68111-1169 | 2018-10-11 |
| Find all providers in zip 68111 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215948591 | Jacqueline B Esch | Family Medicine | 2915 Grant Street, Omaha, NE 68111 | 2006-08-11 |
Please comment or provide details below to improve the information on VINCENT E KERSHAW.
| 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.