Organization Active NPI

Jill E Kerr, D. O. P.C.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1295917508
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3241 Issued in AZ
Legal business name
JILL E KERR, D. O. P.C.
Practice address
13838 S 46TH PL
Suite 320
Phoenix, AZ 85044-7800
Phone
(480) 759-5151
Fax
(480) 940-8649
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Jill E. Kerr, D.O.NPI 1023018595
Title
Owner
Phone
(480) 250-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3241 AZ Primary

Addresses

Primary practice location

13838 S 46TH PL
Suite 320
Phoenix, AZ 85044-7800

Mailing address

14020 S 31St St
Phoenix, AZ 85048-8324
Phone (480) 250-2221

National Provider Directory

National Provider Directory

Locations

13838 S 46th Pl
Ste 320
Phoenix, AZ 85044
Phone (480) 759-5151

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1295917508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 S 31ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488324",
            "telephone_number": "480-250-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL",
            "address_2": "SUITE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447800",
            "telephone_number": "480-759-5151",
            "fax_number": "480-940-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL E KERR, D. O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-250-2221",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.