VINCENT E KERSHAW


Address: 2915 Grant Street, Omaha, NE 68111
Phone: 4024531433

VINCENT E KERSHAW (NPI# 1992926497) 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) 1992926497
Entity Type Individual
Full Name VINCENT E KERSHAW
Credential MD
Practice Address 2915 Grant Street
Omaha
NE 68111
Mailing Address Po Box 30019
2915 Grant Street
Omaha
NE 68111
Practice Telephone 4024531433
Practice Fax Number 4024582061
Mailing Telephone 4024531433
Mailing Fax Number 4024582061
Enumeration Date 2007-05-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0000X Family Medicine
Specialization: Adolescent Medicine
10847 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE 47066671500 05

Office Location

Street Address 2915 GRANT STREET
City OMAHA
State NE
Zip Code 68111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255302170 Charles Drew Health Center, Inc Clinic/Center 2915 Grant Street, Omaha, NE 68111-3863 2006-01-30
1770954687 Connie Sue Radke Nurse Practitioner 2915 Grant Street, Omaha, NE 68111-3863 2015-10-19
1053422303 Erin C Wetzel Dentist 2915 Grant Street, Omaha, NE 68111-3863 2006-08-31
1952418022 Arlana R Phillips Pediatrics 2915 Grant Street, Omaha, NE 68103 2006-08-24
1215948591 Jacqueline B Esch Family Medicine 2915 Grant Street, Omaha, NE 68111 2006-08-11
1699784066 Tracy R Harrison Clinical Nurse Specialist 2915 Grant Street, Omaha, NE 68111 2006-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124501341 Monique Visocky Social Worker 4110 N 36th St, Omaha, NE 68111 2018-09-13
1629529052 Alexis Rae Mcgary Speech-Language Pathologist 4304 North 33rd Street, Omaha, NE 68111 2016-10-20
1811247299 St Benedict The Moor Catholic Church Social Worker 2423 Grant St, Omaha, NE 68111 2012-09-13
1699926337 Lizabeth A Post Counselor 4410 N 36th, Omaha, NE 68111 2008-09-30
1043639594 Victoria Lynne Cassidy Counselor 4318 Fort St, Omaha, NE 68111 2014-04-14
1215232517 Karen R Allington Counselor 3483 Larimore Ave, Omaha, NE 68111 2011-01-18
1396365458 Shaun M Metoyer Contractor 6344 N 36th St, Omaha, NE 68111-1110 2020-04-19
1922464239 Brooke Bertling Speech-Language Pathologist 3775 Curtis Ave, Omaha, NE 68111-1169 2016-01-04
1629385331 Charles Drew Health Center, Inc Counselor 3775 Curtis Avenue, Omaha, NE 68111-1169 2010-09-02
1881169274 Leslie Ann Gleaves Registered Nurse 3775 Curtis Ave, Omaha, NE 68111-1169 2018-10-11
Find all providers in zip 68111

Taxonomy Information

Taxonomy Code 207QA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adolescent Medicine

Taxonomy Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215948591 Jacqueline B Esch Family Medicine 2915 Grant Street, Omaha, NE 68111 2006-08-11

Competitor

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City OMAHA
Zip Code 68111

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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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