Kerwin Memory Center LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

KERWIN MEMORY CENTER LLC

Practice address

8198 Walnut Hill LN Ste 100
Dallas, TX 75231-4316

Phone

(972) 433-9100

Fax

(214) 583-2278

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Taylor Harris

Title

Office Manager

Phone

(972) 433-9155

Specialties & licenses 1

Addresses

Other names 1

• Kerwin Medical Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1124613161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8198 WALNUT HILL LANE",
            "address_2": "JACKSON, SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 WALNUT HILL LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314316",
            "telephone_number": "972-433-9100",
            "fax_number": "214-583-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERWIN MEMORY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-433-9155"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerwin Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kerwin Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Lonadier Kerrigan, CCC/SLP
• Lauren Kersey
• Corey D. Kershaw, MD
• Larry Eugene Kertner, PMHNP-BC
• Kim Kertsburg, LCSW
• Diana R Kerwin, MD
• Erin Marie Kerwin
• Greta L Kerwin, PSYD
• Veena Kesarla, DDS
• Neela Keshavjee, FDN-P

• Geriatric Medicine (Internal Medicine) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.