Individual provider Active NPI

Joseph J. Kernich, M.D.

  • Family Medicine Physician
  • Punxsutawney, PA
National Provider Identifier
1174518237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 029317 E Issued in PA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000914140-0003MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000028 PA Practitioner - Family Practice 5193780880 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 029317 EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Jan 1, 2012 Accepting new patients
Primary Health Network CurrentSince Jan 1, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.