Kennett D Asher Jr., D. O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R6947 Issued in MO

Practice address

612 Hwy 25 South
Bloomfield, MO 63825-9566

Phone

(573) 568-7377

Fax

(573) 568-7320

NPI assigned

Sep 1, 2005

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Jackson Family Clinic, Inc

  • Family Medicine Physician
  • Jackson, MO
  • NPI 1205950961
  NPD Authorized official
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631
  NPD

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1073507315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 HWY 25 SOUTH",
            "city": "BLOOMFIELD",
            "state": "MO",
            "postal_code": "638259566",
            "telephone_number": "573-568-7377",
            "fax_number": "573-568-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 HWY 25 SOUTH",
            "city": "BLOOMFIELD",
            "state": "MO",
            "postal_code": "638259566",
            "telephone_number": "573-568-7377",
            "fax_number": "573-568-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHER",
        "first_name": "KENNETT",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R6947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240303008",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080030087",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "178227",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "697138",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Armbruster, FNP
• Sheila Armbruster, FNP-C
• Bloomfield R-14 Schools
• Broadway Family Clinic LLC
• Milburn Cozort, CASAC
• Dexter Hospital LLC (MSH Internal Medicine of Bloomfield)
• Blake Harty

• Family Medicine Physician in Bloomfield, MO
• Providers in Bloomfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.