Active NPI
Shawkat Kero MD PA
- Gastroenterology Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0043866
- Legal business name
- SHAWKAT KERO MD PA
- Practice address
- 11373 Cortez Blvd Ste 401
Brooksville, FL 34613-5406 - Phone
- (352) 596-8995
- Fax
- (352) 597-0002
- NPI assigned
- May 13, 2010
- Last updated
- May 13, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shawkat Kero
- Title
- President
- Phone
- (352) 596-8995
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0043866 | FL | Primary |
Addresses
Primary practice location
11373 Cortez Blvd Ste 401
Brooksville, FL 34613-5406
Mailing address
11373 Cortez Blvd Ste 401
Brooksville, FL 34613-5406
Phone (352) 596-8995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069665000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
12140 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-8995
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Brooksville, FL
- NPI 1932106929
-
- Internal Medicine Physician
- Port Richey, FL
- NPI 1467441493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273708800000",
"number": "1417275595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD STE 401",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135406",
"telephone_number": "352-596-8995",
"fax_number": "352-597-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD STE 401",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135406",
"telephone_number": "352-596-8995",
"fax_number": "352-597-0002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWKAT KERO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-13",
"last_updated": "2010-05-13",
"status": "A",
"authorized_official_last_name": "KERO",
"authorized_official_first_name": "SHAWKAT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-596-8995",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0043866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069665000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.