Organization Active NPI

John E Kern DO PA

  • Adult Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1003116625
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS0005648 Issued in FL
Legal business name
JOHN E KERN DO PA
Practice address
5838 9TH Ave N
St Petersburg, FL 33710-6319
Phone
(727) 347-8132
Fax
(727) 347-3560
NPI assigned
Oct 29, 2010
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Eric Kern, D.O.NPI 1851344485
Title
President
Phone
(727) 347-8132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS0005648 FL Primary

Addresses

Primary practice location

5838 9TH Ave N
St Petersburg, FL 33710-6319

Mailing address

5838 9TH Ave N
St Petersburg, FL 33710-6319
Phone (727) 347-8132

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1003116625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106319",
            "telephone_number": "727-347-8132",
            "fax_number": "727-347-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106319",
            "telephone_number": "727-347-8132",
            "fax_number": "727-347-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E KERN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-347-8132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS0005648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.