DR. KENNETH LEE HERSHBERGER (NPI# 1316120280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316120280 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LEE HERSHBERGER |
| Credential | D.O. |
| Practice Address |
309 Archer Dr Clarksville MI 48815-9789 |
| Practice Telephone | 6166932300 |
| Mailing Telephone | 6166932300 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5757 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
309 ARCHER DR |
| City | CLARKSVILLE |
| State | MI |
| Zip Code | 48815-9789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236657 | Jessica Renee Vansetters | Nurse Practitioner | 227 S Main St, Clarksville, MI 48815-9656 | 2020-05-17 |
| 1376802215 | Andrea Marie Koenigshof | Social Worker | 8765 Grand River Ave, Clarksville, MI 48815-9717 | 2012-05-13 |
| 1811556285 | Jennica Cool | Licensed Practical Nurse | 10123 Hastings Rd, Clarksville, MI 48815-9754 | 2019-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557380 | Ironwood Dental | Clinic/Center | 2550 Madison St, Clarksville, TN 37043-3704 | 2020-10-29 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1629677307 | Samantha Kate Wacenske | Counselor | 1925 Ashland City Rd Apt 1422, Clarksville, TN 37043-1610 | 2020-10-22 |
| 1659970960 | Lyndsey Cooper | Dietitian, Registered | 1060 W Creek Coyote Trl Apt 1507, Clarksville, TN 37042-8267 | 2020-10-19 |
| 1356948509 | Meagan H Jones | Counselor | 3328 Mallard Dr, Clarksville, TN 37042-4754 | 2020-10-01 |
| 1982211421 | Jason Joseph | Massage Therapist | 173 Whitman Aly, Clarksville, TN 37043-6340 | 2020-09-29 |
| 1447867114 | Tricia M Love | Massage Therapist | 4755 Highway 31 E Unit B, Clarksville, IN 47129-9220 | 2020-09-28 |
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1336755040 | Lana Lee Williams | Assistant Behavior Analyst | 21220 Nw Janney Rd, Clarksville, FL 32430-2122 | 2020-09-17 |
| 1255946463 | Independent Physical Therapy, LLC | Occupational Therapist | 1011 Winn Way Ste 110, Clarksville, TN 37043-0614 | 2020-09-14 |
| Find all providers in CLARKSVILLE | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164982443 | Compassion Care Clinic | Family Medicine | 2269 Wilma Rudolph Blvd Ste 106, Clarksville, TN 37040-8416 | 2019-03-22 |
| 1427517986 | Garry Henderson Lovins | Family Medicine | 5914 Perfect Calm Ct, Clarksville, MD 21029-1259 | 2019-03-14 |
| 1962944686 | Urgent Care Hillcrest LLC | Family Medicine | 230 Hillcrest Dr, Clarksville, TN 37043-6520 | 2016-11-11 |
| 1356736854 | John Williams Ross | Family Medicine | 1492 Tiny Town Rd Ste A1-a2, Clarksville, TN 37042-7873 | 2015-04-01 |
| 1104253327 | Medical Direct Care, Plc | Family Medicine | 190 Hatcher Lane, Suite B, Clarksville, TN 37040 | 2013-10-02 |
| 1215364633 | America Cares Trust, Inc | Family Medicine | 647 Dunlop Ln Ste 102, Clarksville, TN 37040-5165 | 2013-09-30 |
| 1790055747 | Care for Your Health, Inc | Family Medicine | 12140 Flowing Water Trl, Clarksville, MD 21029-1682 | 2012-01-09 |
| 1790916690 | Patricia Lee Isaacs | Family Medicine | 2051 Clevidence Blvd Ste 1, Clarksville, IN 47129-2278 | 2009-07-27 |
| 1003013160 | William P. Grabenstein | Family Medicine | 1822 Memorial Dr, Clarksville, TN 37043-4605 | 2007-06-29 |
| 1295882348 | David Wesley Johnson | Family Medicine | 251 Hillcrest Dr, Clarksville, TN 37043-5086 | 2007-01-04 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 48815 |
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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.