KERRI A. KISSELL (NPI# 1043354483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043354483 |
Entity Type | Individual |
Full Name | KERRI A. KISSELL |
Credential | MD |
Practice Address |
1 Memorial Sq Ste 2200 Greenfield IN 46140-1378 |
Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
Practice Telephone | 3174626662 |
Practice Fax Number | 3174686275 |
Mailing Telephone | 5708885858 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2020-01-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | MD430427 | PA | Allopathic & Osteopathic Physicians |
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD430427 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | RR MEDICARE PIN | P00424192 | 01 |
PA | 1019360730001 | 05 | |
PA | RR MEDICARE GROUP | CC9269 | 01 |
NY | 02889256 | 05 | |
PA | MEDICARE GROUP | 039812 | 01 |
PA | MEDICARE GROUP | GU039812 | 01 |
Street Address |
1 MEMORIAL SQ STE 2200 |
City | GREENFIELD |
State | IN |
Zip Code | 46140-1378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497372031 | Claudia I Brinkruff | Dietitian, Registered | 1 Memorial Sq Ste 2200, Greenfield, IN 46140-1378 | 2020-06-30 |
1427402510 | Drew Dust | Internal Medicine | 1 Memorial Sq Ste 2200, Greenfield, IN 46140-1378 | 2016-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
Find all providers in zip 46140 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
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 |
---|---|---|---|---|
1457454894 | Margaret Anne Ferry | Internal Medicine | 33 Riddell St, Suite 8, Greenfield, MA 01301 | 2006-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992344071 | Deaconess Clinc Inc | Internal Medicine | 120 Se 4th St, Evansville, IN 47708-1607 | 2020-01-06 |
1568930220 | Impact Physician Group, Indiana, LLC | Internal Medicine | 13219 N Meridian St, Carmel, IN 46032-5480 | 2018-11-10 |
1679080683 | Gregory Alan Gaich | Internal Medicine | 5891 N New Jersey St, Indianapolis, IN 46220-2534 | 2017-12-29 |
1154833002 | Endocrinology & Diabetes of Indiana LLC | Internal Medicine | 9240 N Meridian St Ste 240, Indianapolis, IN 46260-1876 | 2017-11-01 |
1669909388 | Primariahealth, PC | Internal Medicine | 9365 Counselors Row Ste 210, Indianapolis, IN 46240-6418 | 2017-05-11 |
1083078943 | James K Malone | Internal Medicine | 5256 N Illinois St, Indianapolis, IN 46208-2636 | 2016-04-07 |
1538524491 | John Henry Krege | Internal Medicine | 12443 Pebblepointe Pass, Carmel, IN 46033-9686 | 2015-12-19 |
1619301165 | Thomas Andrew Hardy | Internal Medicine | 1417 Stoney Creek Cir, Carmel, IN 46032-9115 | 2013-09-02 |
1356781983 | Jose Francisco Caro | Internal Medicine | 1296 Conner St, Noblesville, IN 46060-2911 | 2013-06-27 |
1891040762 | Shrikant Uttam Tamhane | Internal Medicine | 1050 Reid Pkwy Ste 300, Richmond, IN 47374-1155 | 2012-07-17 |
Find all providers with the same taxonomy |
City | GREENFIELD |
Zip Code | 46140 |
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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.