Martha O. Kershaw, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301057426 Issued in MI

Practice address

103 Arnet St.
Hope Medical Clinic
Ypsilanti, MI 48198

Phone

(734) 481-0111

NPI assigned

Jan 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Packard Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ypsilanti, MI
  • NPI 1205538584
  NPD (past)
• Packard Health, Inc.

  • Clinic/Center
  • Ann Arbor, MI
  • NPI 1609988245
  NPD (past)

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1083852917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 DANBURY LN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032217",
            "telephone_number": "734-663-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ARNET ST.",
            "address_2": "HOPE MEDICAL CLINIC",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48198",
            "telephone_number": "734-481-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHAW",
        "first_name": "MARTHA",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301057426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Kent, NCTMB
• Lauren Kenyon
• Madalyn Kenyon
• Denyce Girard Kerner, PH.D.
• Kathleen Kerr, PA
• Danielle Irene Kerwin
• Preethi Manavalan Kesavan
• Kristin A Keskey, MD
• Valerie Ketchum
• Jonathan Kevnick

• Family Medicine Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.