Active NPI
Joseph J. Kernich, M.D.
- Family Medicine Physician
- Punxsutawney, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD 029317 E
- Practice address
- 200 Prushnok Dr
Punxsutawney, PA 15767-2343 - Phone
- (814) 938-3310
- Fax
- (814) 938-6804
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 029317 E | PA | Primary |
Addresses
Primary practice location
200 Prushnok Dr
Punxsutawney, PA 15767-2343
Mailing address
100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 938-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000914140-0003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 029317 E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Network | Current | Accepting new patients | |
| Primary Health Network | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mulberry Healthcare Operating LLC | Past | Accepting new patients |
Locations
30 Pinnacle Dr
Clarion, PA 16214
Phone (814) 223-9900
2000 Green St
Farrell, PA 16121
Phone (724) 342-6600
200 Prushnok Dr
Punxsutawney, PA 15767
Phone (814) 938-3310
83 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-0225
63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604
100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886
Interoperability endpoints
- josephkernich@primaryhn.medalliesdirect.net
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Sharon, PA
- NPI 1417932609
-
- Federally Qualified Health Center (FQHC)
- Emlenton, PA
- NPI 1750181038
-
- Skilled Nursing Facility
- Punxsutawney, PA
- NPI 1083344998
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174518237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SHENANGO AVE",
"city": "SHARON",
"state": "PA",
"postal_code": "161461503",
"telephone_number": "814-938-3310",
"fax_number": "814-938-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PRUSHNOK DR",
"city": "PUNXSUTAWNEY",
"state": "PA",
"postal_code": "157672343",
"telephone_number": "814-938-3310",
"fax_number": "814-938-6804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNICH",
"first_name": "JOSEPH",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD 029317 E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000914140-0003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Punxsutawney, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.