Active NPI
Matthew B Kern, M.D.
- Neurological Surgery Physician
- Panama City, FL
National Provider Identifier
1265507024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME128239
- Practice address
- 2202 State Ave Ste 207
Panama City, FL 32405-4582 - Phone
- (850) 772-0680
- Fax
- (850) 784-1975
- NPI assigned
- Nov 21, 2006
- Last updated
- Feb 4, 2022
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME128239 | FL | Primary |
Addresses
Primary practice location
2202 State Ave Ste 207
Panama City, FL 32405-4582
Mailing address
2202 State Ave Ste 207
Panama City, FL 32405-4582
Phone (850) 772-0680
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MATTHEW.KERN@hca5.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME128239 | FL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic PA | Past | Accepting new patients | |
| Neurological Surgery Practice of Long Island PLLC | Neurological Surgery | Past | Accepting new patients |
| NSPC Plastics | Past | Accepting new patients | |
| Neurosurgical Consultants LLP | Neurological Surgery | Past | Accepting new patients |
Interoperability endpoints
- matthew.kern@hca5.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Medical Center Clinic Ambulatory Surgical Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
-
- Neurological Surgery Physician
- Rockville Centre, NY
- NPI 1265529424
-
- Neurological Surgery Physician
- Owensboro, KY
- NPI 1730295387
-
- Plastic Surgery Physician
- Rockville Centre, NY
- NPI 1487192233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1265507024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 STATE AVE STE 207",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054582",
"telephone_number": "850-772-0680",
"fax_number": "850-784-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 STATE AVE STE 207",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054582",
"telephone_number": "850-772-0680",
"fax_number": "850-784-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "MATTHEW",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME128239",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MATTHEW.KERN@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2120 E Johnson Ave Ste 106",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325146091",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.