Kendra Verhelle MD Community Medical Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J7712 Issued in TX

Legal business name

KENDRA VERHELLE MD COMMUNITY MEDICAL CARE PA

Practice address

163 W 5TH St
Rusk, TX 75785-1217

Phone

(903) 683-6619

Fax

(903) 683-1176

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kendra R Verhelle, M.D.NPI 1811969454

Title

Owner

Phone

(903) 683-6619

Specialties & licenses 1

Addresses

Other names 1

• COMMUNITY MEDICAL CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra R Verhelle, MD

  • Internal Medicine Physician
  • Rusk, TX
  • NPI 1811969454
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1053716340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 W 5TH ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851217",
            "telephone_number": "903-683-6619",
            "fax_number": "903-683-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 W 5TH ST",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851217",
            "telephone_number": "903-683-6619",
            "fax_number": "903-683-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRA VERHELLE MD COMMUNITY MEDICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "VERHELLE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-683-6619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J7712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alva Joy Jones, LPC
• Louis Kavetski, DDS
• Kelly Ann Kinney
• Donna Kropp, PMHNP-BC
• Sheri Lankford, RNFA
• Larenda Inc
• Tamara Sue Lawson

• Internal Medicine Physician in Rusk, TX
• Providers in Rusk, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.