Joel Kerschenbaum, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F0542 Issued in TX

Practice address

17521 St Lukes Way
Suite 190
The Woodlands, TX 77384-8039

Phone

(281) 719-5446

NPI assigned

Oct 10, 2006

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 1

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

• Direct secure messaging: joel.kerschenbaum.p1@direct.woodlandsfamilymed.nextgenshare.com

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.

• Sadler Clinic Association

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1114979127
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1124115167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 ST LUKES WAY",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848039",
            "telephone_number": "281-719-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17521 ST LUKES WAY",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848039",
            "telephone_number": "281-719-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSCHENBAUM",
        "first_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099618302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter G Kennedy, PSY.D., LPC
• Katherine Kennedy, CPNP
• Kristin Kenny, LPC
• Gloria T. Keraga, MD
• Dationna Kerr
• Kevin M Moran MD PA
• Tana G. Key, O.T.
• Keyes to Health PLLC
• Kevin John Keyes, DC
• Keystone Outpatient Services, LLC

• Family Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.