DR. JASON F. KESSELRING (NPI# 1851305668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851305668 |
| Entity Type | Individual |
| Full Name | DR. JASON F. KESSELRING |
| Credential | MD |
| Practice Address |
304 Madison Ave Madison IL 62060-1110 |
| Practice Telephone | 6184521129 |
| Practice Fax Number | 6184521147 |
| Mailing Telephone | 6184521129 |
| Mailing Fax Number | 6184521147 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036-115073 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
304 MADISON AVE |
| City | MADISON |
| State | IL |
| Zip Code | 62060-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255514717 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 308 Madison Ave, Madison, IL 62060-1110 | 2007-12-07 |
| 1376959668 | Stay At Home Health Care Inc | Home Health | 1130 Douglas St, Madison, IL 62060-1122 | 2014-07-07 |
| 1174796734 | Madison County Urban League | Clinic/Center | 500 Madison Ave, Madison, IL 62060-1414 | 2008-04-03 |
| 1740461870 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 1425 6th St, Madison, IL 62060-1417 | 2007-11-16 |
| 1790083095 | Chestnut Health Systems, Inc | Case Management | 1425 6th St, Madison, IL 62060-1417 | 2011-03-10 |
| 1770850075 | Chestnut Health Systems, Inc. | Clinic/Center | 648 State St Bldg B, Madison, IL 62060-1420 | 2011-11-30 |
| 1902184054 | Chestnut Health Systems, Inc. | Clinic/Center | 648 State St Bldg A, Madison, IL 62060-1420 | 2011-07-22 |
| 1316126147 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 648 State St, Madison, IL 62060-1420 | 2007-10-29 |
| 1073936530 | Kendra Jean Donaldson | Social Worker | 648 State St, Madison, IL 62060-1420 | 2014-02-03 |
| 1033310099 | County of Madison Community Unit School Dist 12 | Local Education Agency (LEA) | 1707 4th St, Madison, IL 62060-1505 | 2007-05-29 |
| Find all providers in zip 62060 | ||||
| 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 |
|---|---|---|---|---|
| 1255947297 | Gluckstadt Tc Kids, LLC | Pediatrics | 101 Lexington Dr Ste A, Madison, MS 39110-6986 | 2020-09-16 |
| 1417488180 | Erin Olsen Pierce | Pediatrics | 8490 Highway 72 W Ste 100, Madison, AL 35758-9575 | 2017-03-24 |
| 1396193454 | Helen Gerseny Waterman | Pediatrics | 123 E Mifflin St Apt 200, Madison, WI 53703-2810 | 2016-05-31 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1780070086 | Christina Amend | Pediatrics | American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 | 2015-04-13 |
| 1093109316 | Justin M. Lay | Pediatrics | 7726 Old Canton Road, Madison, MS 39110 | 2015-03-25 |
| 1740617414 | Claudette Onyelobi Adegboro | Pediatrics | 1010 Mound St, Room 414, Madison, WI 53715-1532 | 2013-09-26 |
| 1659660330 | Christina Hanowsky Bryndzia | Pediatrics | Uw Hospitals and Clinics, 600 Highland Avenue, Madison, WI 53792-0001 | 2011-04-01 |
| 1225357122 | Andrea R Carberry | Pediatrics | American Family Childrens, 600 Highland Ave, H4/4 Mc: 4108, Madison, WI 53792-0001 | 2010-05-18 |
| 1649413550 | Maud Hillevi Regne-karlsson | Pediatrics | 3503 Gregory St, Madison, WI 53711-1727 | 2009-04-08 |
| Find all providers in MADISON | ||||
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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.