DR. JOSEPH THEODORE CERNICH (NPI# 1568412377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568412377 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH THEODORE CERNICH |
| Credential | M.D. |
| Practice Address |
3101 Broadway Blvd Kansas City MO 64111-2659 |
| Mailing Address |
2401 Gillham Rd Kansas City MO 64108-4619 |
| Practice Telephone | 8169608000 |
| Practice Fax Number | 8169608046 |
| Mailing Telephone | 8162343000 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 04-29903 | KS | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 2003000631 | MO | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
04-29903 | KS | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
2003000631 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209246305 | 05 |
| Street Address |
3101 BROADWAY BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619837 | Chris D Stone | Internal Medicine | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2005-06-17 |
| 1013556661 | Taylor Kramer | Speech-Language Pathologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-12-31 |
| 1548810526 | Stephanie Kara Grote | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-09-12 |
| 1306402052 | Whitney Root | Speech-Language Pathologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-05-17 |
| 1780247247 | Misty M Smith | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-04-19 |
| 1700342466 | Sabetha Young | Dietitian, Registered | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-02-18 |
| 1811475577 | Lydia Muja Jobickson | Audiologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-08-03 |
| 1801389440 | Bailey Kay Pepperdine | Audiologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-06-08 |
| 1730676933 | Alannah K Yoder | Pharmacist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-04-13 |
| 1184147092 | Callie Chagas | Dietitian, Registered | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2017-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780430 | Jane Reardon | Pediatrics | 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 | 2019-06-26 |
| 1326548579 | Clarissa Ryan Gillen | Pediatrics | 9140 Ward Pkwy Ste 201, Kansas City, MO 64114-3327 | 2018-02-14 |
| 1306363858 | Children's Mercy - Redwood Pediatrics | Pediatrics | 9151 Ne 81st St, Suite 240, Kansas City, MO 64158-1307 | 2017-08-25 |
| 1811438013 | Lauren Hughes | Pediatrics | 2870 W 47th Ave, Kansas City, KS 66103-3243 | 2017-03-20 |
| 1033592795 | Kubra Melike Bozkanat | Pediatrics | University of Kansas Hospital Pediatrics, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160-0001 | 2015-06-30 |
| 1821417965 | Angela Kay Linz | Pediatrics | 4400 Broadway Ste 206, Kansas City, MO 64111-3342 | 2014-04-15 |
| 1669890620 | Michelle Marie Knoll | Pediatrics | 3101 Broadway Blvd Ste 900, Kansas City, MO 64111 | 2014-04-06 |
| 1477971141 | Michael Bradley Nelson | Pediatrics | 2000 Olathe # 3b, Kansas City, KS 66160-2620 | 2014-03-31 |
| 1104243245 | Kelstan Lynch Ellis | Pediatrics | University of Kansas Pediatrics Residency, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160 | 2014-03-26 |
| 1215374244 | Jennifer Isham | Pediatrics | 1004 Carondelet Dr Ste 310, Kansas City, MO 64114-4801 | 2013-05-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.