Peter B McKernan MD DDS PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PETER B MCKERNAN MD DDS PA

Doing business as

Ear Nose and Throat Associates

Practice address

6101 Webb Rd
Suite 211
Tampa, FL 33615-2872

Phone

(813) 884-4967

Fax

(813) 889-0847

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Peter Brian McKernan, MD DDS PA

Title

Physician

Phone

(813) 884-4967

Specialties & licenses 2

Addresses

Other names 1

• Ear Nose and Throat Associates Doing business as

Locations

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1194993113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD",
            "address_2": "SUITE 211",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152872",
            "telephone_number": "813-884-4967",
            "fax_number": "813-889-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD",
            "address_2": "SUITE 211",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152872",
            "telephone_number": "813-884-4967",
            "fax_number": "813-889-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER B MCKERNAN MD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-884-4967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DDS PA"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ear Nose and Throat Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camilla Pessoa
• Jaspreet Kaur Pestana, MD
• Pet Rhino Inc
• Brienne Petcher, M.D
• Peter a Donelan MD PA
• Peter J Walton MD PA
• Archana Peter
• Jeanne Peter, CRNP
• Ryan Joseph Peterfy, DO
• Sarah Danielle Peterika, ATC, LAT

• Otolaryngology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.