Gordon L Kern (NPI# 1205976016, PAC ID# 4688693021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1205976016 |
| PAC ID by PECOS | 4688693021 |
| Professional Enrollment ID | I20051115000949 |
| Full Name | Gordon L Kern |
| Organization Legal Name | CAH ACQUISITION COMPANY 2 LLC |
| Address |
800 Barker Dr Suite B Oswego KS 67356-9022 |
| Phone Number | 6207952921 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2668558263 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171302 | OSWEGO COMMUNITY HOSPITAL |
| 170120 | LABETTE HEALTH |
| 260137 | FREEMAN HEALTH SYSTEM-FREEMAN WEST |
| 171308 | MERCY HOSPITAL COLUMBUS |
| Address | Phone | Organization |
|---|---|---|
| 800 Barker Dr, Suite B, Oswego, KS 67356-9022 | 6207952921 | CAH ACQUISITION COMPANY 2 LLC |
| Organization Legal Name | CAH ACQUISITION COMPANY 2 LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Carter | Physician Assistant | Cah Acquisition Company 2 LLC | 800 Barker Dr B, Oswego, KS 67356-9022 |
| Elesha B Draeger | Nurse Practitioner | Cah Acquisition Company 2 LLC | 800 Barker Dr, Suite B, Oswego, KS 67356-9022 |
| Street Address |
800 BARKER DR SUITE B |
| City | OSWEGO |
| State | KS |
| Zip | 67356-9022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elesha B Draeger | Nurse Practitioner | Cah Acquisition Company 2 LLC | 800 Barker Dr, Suite B, Oswego, KS 67356-9022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Carter | Physician Assistant | Cah Acquisition Company 2 LLC | 800 Barker Dr B, Oswego, KS 67356-9022 |
| Patricia C. Ridings | Nurse Practitioner | Mercy Clinic Joplin LLC | 805 Barker Dr, Oswego, KS 67356-9034 |
| City | OSWEGO |
| Zip Code | 67356 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | OSWEGO + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Gordon L Kern.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.