JOHN WILLIAM KERSHNER (NPI# 1417352568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417352568 |
| Entity Type | Individual |
| Full Name | JOHN WILLIAM KERSHNER |
| Credential | PA-C |
| Practice Address |
200 Hawthorne Ln Behavioral Health Building Charlotte NC 28204-2515 |
| Mailing Address |
200 Hawthorne Ln Po Box 33549 Charlotte NC 28204-2515 |
| Practice Telephone | 8439920216 |
| Mailing Telephone | 8439920216 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
0010-05335 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104936947 | John William Kershner | Dentist | 130 Thomas Johnson Dr, Ste 1, Frederick, MD 21701 | 2006-08-30 |
| Street Address |
200 HAWTHORNE LN BEHAVIORAL HEALTH BUILDING |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913128 | Patrick Aloysius Wilson | Pathology | 200 Hawthorne Ln, Presbyterian Hospital Department of Pathology, Charlotte, NC 28204-2515 | 2005-06-23 |
| 1649879479 | Lovina; Takon | Registered Nurse | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-22 |
| 1982203253 | Jaime Michelle Stanton Morris | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-19 |
| 1447864640 | Steven Cimijotti | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-09-04 |
| 1962015420 | Randall Lee Coffman | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-25 |
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1477171494 | Larson Vickery | Physician Assistant | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-07-07 |
| 1497378327 | Courtney Lynn Harper | Pharmacist | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-27 |
| 1760005094 | Kwame Adusei-mensah | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-21 |
| 1598388829 | Mark William Benfield | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003376914 | Raquan Moser | Psychologist | 5108 Reagan Dr Ste 14, Charlotte, NC 28206-1395 | 2019-03-25 |
| 1558566422 | Myra Ann Preston | Psychologist | 7820 Ballantyne Commons Pkwy, Suite 106, Charlotte, NC 28277-2841 | 2007-06-19 |
| 1689767717 | Kathryn B Crump | Psychologist | 1100 Blythe Blvd, Charlotte, NC 28203 | 2006-10-02 |
| 1699870295 | Mary Elizabeth Tota-faucette | Psychologist | 125 Baldwin Ave, Suite 100, Charlotte, NC 28204-3227 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952789695 | Turquoise Consulting Inc.. | Psychologist | 95 Holly Ridge Rd, Box 161 Kipling, Nc 27543, Angier, NC 27501-6854 | 2015-05-14 |
| 1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
| 1851660385 | Gregory Javon Powell | Psychologist | 206 Crosswinds Dr, Raeford, NC 28376-7502 | 2011-12-29 |
| 1477792919 | Eva L. Trivett-clark | Psychologist | 134 Doctor's Drive, Boone, NC 28607 | 2009-02-06 |
| 1598844565 | Professional Rehabilitation Consultants | Psychologist | 1710 Kay St, Greensboro, NC 27405-5046 | 2006-11-02 |
| 1609428168 | Jenna Ellison | Psychologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-07-15 |
| 1437474244 | Northcross Medical Center | Psychologist | 16511 Northcross Dr, Suite A, Huntersville, NC 28078-5021 | 2010-04-05 |
| 1366585135 | Psychotherapeutic Services | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2007-02-14 |
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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.