Jeffrey Brent Kessler, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

1325 W Whittaker St
Suite 3
Salem, IL 62881-2007

Phone

(618) 740-0341

Fax

(618) 740-0343

NPI assigned

Oct 7, 2005

Last updated

Jan 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Salem Family Practice, SC

  • Family Medicine Physician
  • Salem, IL
  • NPI 1700065851
  Authorized official Same address or phone
• Physician Services Corporation of Southern Illinois Inc.

  dba SSM Health Medical Group

  • Internal Medicine Physician
  • Mount Vernon, IL
  • NPI 1831101807

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1720076300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628810460",
            "telephone_number": "618-740-0341",
            "fax_number": "618-740-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W WHITTAKER ST",
            "address_2": "SUITE 3",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812007",
            "telephone_number": "618-740-0341",
            "fax_number": "618-740-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "JEFFREY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayden Johnson, RBT
• Paige Elizabeth Johnson
• Stella C Johnson, FNP-C
• Olivia Renee Jones
• Julie K. Kueker, O.D., P.a.
• Ashley Kircher
• Knevitt Inc (Air & Medical Emergency Services)
• Melissa J Kohnen, CPNP-PC
• Heather Krajefska, CCC-SLP
• Julie K Kueker, O.D.

• Family Medicine Physician in Salem, IL
• Providers in Salem, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.