Active NPI
Jill E. Kerr, D.O.
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3241
- Practice address
- 4530 E Ray Rd
Suite 190
Phoenix, AZ 85044-6094 - Phone
- (480) 940-5420
- Fax
- (480) 940-5480
- NPI assigned
- Jul 27, 2005
- Last updated
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3241 | AZ | Primary |
Addresses
Primary practice location
4530 E Ray Rd
Suite 190
Phoenix, AZ 85044-6094
Mailing address
4530 E Ray Rd
Suite 190
Phoenix, AZ 85044-6094
Phone (480) 940-5420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264581170 | Other | FL | OCEAN SHORE FAMILY MEDICAL CENTER |
| 860950956 | Other | AS | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 626-2304
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical, PLLC | Family Medicine | Current | Accepting new patients |
| Good Health Medical, PLLC | Family Medicine | Current | Accepting new patients |
| A T Still University of Health Sciences | Family Medicine | Current | Accepting new patients |
| A T Still University of Health Sciences | Current | Accepting new patients | |
| Good Health Medical, PLLC | Family Medicine | Current | Accepting new patients |
| James Nichols MD, LTD. | Past | Accepting new patients | |
| Jill E Kerr, D. O. P.C. | Family Medicine | Past | Accepting new patients |
Locations
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888
1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880
2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 455-7444
800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235
800 W Jefferson St
Fl 1
Kirksville, MO 63501
Interoperability endpoints
- jill.kerr@atsu.directbygreenway.com
- jill.kerr@direct.elationemr.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Kirksville, MO
- NPI 1164484887
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1295917508
-
- Rural Health Clinic/Center
- Kirksville, MO
- NPI 1245051895
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1235338054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499040000000",
"number": "1023018595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E RAY RD",
"address_2": "SUITE 190",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446094",
"telephone_number": "480-940-5420",
"fax_number": "480-940-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E RAY RD",
"address_2": "SUITE 190",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446094",
"telephone_number": "480-940-5420",
"fax_number": "480-940-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "JILL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-27",
"last_updated": "2017-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "3241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCEAN SHORE FAMILY MEDICAL CENTER",
"identifier": "264581170",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "860950956",
"state": "AS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.