Individual provider Active NPI

George W. Kern IV, M.D.

  • Allergy Physician
  • West Chester, PA
National Provider Identifier
1386738490
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD012769E Issued in PA
Practice address
520 Maple Ave
Suite 6
West Chester, PA 19380-4434
Phone
(610) 436-5491
Fax
(610) 436-6530
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MD012769E PA Primary

Addresses

Primary practice location

520 Maple Ave
Suite 6
West Chester, PA 19380-4434

Mailing address

520 Maple Ave
Suite 6
West Chester, PA 19380-4434
Phone (610) 436-5491

Other identifiers 3

IdentifierTypeStateIssuer
0026770000OtherPAINDEPENDENCE BLUES
4271977OtherPAAETNA NATIONWIDE
119765OtherPABLUE SHIELD-NATIONWIDE

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

LicenseStateTypeSpecialty
MD012769EPAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma, Allergy & Immunology of Chester County, LTD. Allergy PastSince Jul 25, 1979 Accepting new patients

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1386738490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "SUITE 6",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804434",
            "telephone_number": "610-436-5491",
            "fax_number": "610-436-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAPLE AVE",
            "address_2": "SUITE 6",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804434",
            "telephone_number": "610-436-5491",
            "fax_number": "610-436-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "GEORGE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "MD012769E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUES",
            "identifier": "0026770000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NATIONWIDE",
            "identifier": "4271977",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD-NATIONWIDE",
            "identifier": "119765",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.