DR. EDWARD KERWIN


Address: 3860 Crater Lake Ave, Medford, OR 97504-9741
Phone: 5418581003

DR. EDWARD KERWIN (NPI# 1568465847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568465847
Entity Type Individual
Full Name DR. EDWARD KERWIN
Credential M.D.
Practice Address 3860 Crater Lake Ave
Medford
OR 97504-9741
Practice Telephone 5418581003
Practice Fax Number 5418581091
Mailing Telephone 5418581003
Mailing Fax Number 5418581091
Enumeration Date 2005-05-31
Last Update Date 2020-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KA0200X Allergy & Immunology
Specialization: Allergy
MD18405 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 056700 05

Other Providers EDWARD KERWIN

NPI Name Taxonomy Address Enumeration
1083087100 Edward Kerwin IIi Counselor 1661 N Swan Rd Ste 310, Tucson, AZ 85712-4075 2015-11-11
1750908224 Edward John Kerwin Peer Specialist 100 N Wilkes Barre Blvd Ste 103, Wilkes Barre, PA 18702-5240 2020-07-01

Office Location

Street Address 3860 CRATER LAKE AVE
City MEDFORD
State OR
Zip Code 97504-9741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356795504 Kary Anne Kelly Nurse Practitioner 3860 Crater Lake Ave, Medford, OR 97504-9741 2016-04-13
1487910766 Ryan B Israelsen Allergy & Immunology 3860 Crater Lake Ave, Medford, OR 97504 2012-04-11
1962503961 Jaleh Ostovar Nurse Practitioner 3860 Crater Lake Ave, Medford, OR 97504-9741 2006-09-25
1811098825 Jennifer K Milligan Allergy & Immunology 3860 Crater Lake Ave, Medford, OR 97504-9741 2006-09-25
1467499475 Kevin Wilson Parks Allergy & Immunology 3860 Crater Lake Ave, Suite A, Medford, OR 97504-9741 2006-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124172598 Eric W. Bantz Allergy & Immunology 103 Old Marlton Pike Ste 211, Medford, NJ 08055-8772 2007-01-23
1760548408 Allergy & Asthma Center of Southern Oregon PC Allergy & Immunology 3860 Crater Lake Ave Ste A, Medford, OR 97504-9741 2006-12-28
1912904624 Joel G Bleier Allergy & Immunology 1 City Hall Mall, Medford, MA 02155-4770 2005-07-07
1467499475 Kevin Wilson Parks Allergy & Immunology 3860 Crater Lake Ave, Suite A, Medford, OR 97504-9741 2006-05-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922304302 Eastside Allergy Asthma & General Internal Medicine PC Allergy & Immunology 2850 Se Powell Blvd, Suite 206, Gresham, OR 97080-1494 2011-02-02
1164562401 Allergy & Asthma Center of Southern Oregon PC Allergy & Immunology 2628 Clover St, Klamath Falls, OR 97601-1132 2007-02-07
1205976867 Allergy & Asthma Center of Southern Oregon PC Allergy & Immunology 2262 Ashland St, Ashland, OR 97520-1406 2007-02-06
1952441594 Allergy & Asthma Center of Southern Oregon PC Allergy & Immunology 1722 Williams Hwy, Grants Pass, OR 97527-5661 2007-02-06
1194733519 Joel Michael Depper Allergy & Immunology 1250 Ne 3rd St, Suite B-100, Bend, OR 97701-4331 2006-08-03
1568482610 Robert Henry Schwartz Allergy & Immunology 27 Ne Killingsworth St, Portland, OR 97211-2623 2006-07-20
1659317683 John D Minor Allergy & Immunology 2233-f Willamette St, Allergy & Asthma Center PC, Eugene, OR 97405 2006-06-20
1134100092 Kevin M Kral Allergy & Immunology 2065 Ne Williamson Ct, Suite A, Bend, OR 97701-3867 2005-11-08
1851954853 Allergy & Asthma Center of Southern Oregon PC Allergy & Immunology 1813 W Harvard Ave, Suite 241, Roseburg, OR 97471 2019-04-16
1891905261 Anita Tam Su Allergy & Immunology 545 Ne 47th Ave, Ste. 310, Portland, OR 97213-2238 2007-05-23
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Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

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.

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