Irving D Kernis, D.O.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

5101006147 Issued in MI

Practice address

2632 S. Milford Rd
Huron Valley Pediatrics, P.C.
Highland, MI 48357

Phone

(248) 684-5510

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17995/brand/1/csg/1/fhir/r4

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.

• Huron Valley Pediatrics, P.C.

  • Pediatric Adolescent Medicine Physician
  • Highland, MI
  • NPI 1730393034

  Adolescent Medicine

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508955675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 TREYBORNE CIR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483902832",
            "telephone_number": "248-684-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 S. MILFORD RD",
            "address_2": "HURON VALLEY PEDIATRICS, P.C.",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "48357",
            "telephone_number": "248-684-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNIS",
        "first_name": "IRVING",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "5101006147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4108639",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Joseph Kaspor, DDS
• Manpreet Kaur
• Mitchell Davis Keefer, BSN, RN
• Taylor Kelly, MSOT, OTR/L
• Kathryn A Kelm, PT
• Kids in Motion
• Kids in Motion Pediatric Therapy Services LTD.
• Jeffrey Sungjoon Kim, DDS
• Kiwi PT, LLC
• David S Klar, O.D.

• All providers in Highland, MI
• Pediatric Adolescent Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.