Gordon Kern, MD
Individual provider Active NPI Family Medicine Physician · Oswego, KS
NPI 1205976016 · NPPES record last updated Mar 26, 2019
Key facts
- NPI
- 1205976016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-28876 (KS)
- Practice address
- 1104 Oregon Dr
Oswego, KS 67356-1826 - Phone
- (620) 421-2228
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-28876 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsburg Emergency Physicians, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-28876 | KS | Yes |
Addresses
Primary practice location
1104 Oregon Dr
Oswego, KS 67356-1826
Mailing address
1104 Oregon Dr
Oswego, KS 67356-1826
Phone (620) 421-2228
Other providers in Oswego, KS
- Amelia Jolynn Hartmann
- Haskell Regional Hospital, Inc.
- Haskell Regional Hospital, Inc.
- Katelyn Hite
- Infinia at Oswego
- Labette County Medical Center
- Lisa Lafalier
- Cindi A. Major
- Mercy Clinic Joplin, LLC
- Mercy Hospital Columbus
All providers in Oswego, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.