NPIMap

Individual provider Active NPI

Joshua C Kershen, M.D.

  • Neurology Physician
  • Oklahoma City, OK
National Provider Identifier
1770521064
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
217393 Issued in MA
Practice address
4221 S Western Ave
5000
Oklahoma City, OK 73109-3447
Phone
(405) 644-5165
Fax
(405) 644-6668
NPI assigned
Jun 2, 2006
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 217393 MA Primary

Addresses

Primary practice location

4221 S Western Ave
5000
Oklahoma City, OK 73109-3447

Mailing address

4221 S Western Ave
5000
Oklahoma City, OK 73109-3447
Phone (405) 644-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921001485 OK Practitioner - Neurology 5890772875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Oklahoma College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4221 S Western
Suite 5000
Oklahoma City, OK 73109-3441

4221 S Western Ave
Suite 5000
Oklahoma City, OK 73109-3441
Phone (405) 644-5160

4401 S Western
Oklahoma City, OK 73109-3441
Phone (405) 636-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
217393MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Kershen MD PC Neurology CurrentSince May 31, 2010 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Oct 1, 2013 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris Baptist Associates Past Accepting new patients
Summit Medical Center Past Accepting new patients
Brent a Beson MD PC Past Accepting new patients

Locations

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4221 S Western Ave
Ste 5000
Oklahoma City, OK 73109
Phone (405) 644-5160

4221 S Western Ave
Ste 5010
Oklahoma City, OK 73109
Phone (405) 644-5170

5100 N Brookline Ave
Ste 950
Oklahoma City, OK 73112
Phone (405) 717-9840

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1770521064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE",
            "address_2": "5000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093447",
            "telephone_number": "405-644-5160",
            "fax_number": "405-644-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE",
            "address_2": "5000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093447",
            "telephone_number": "405-644-5165",
            "fax_number": "405-644-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHEN",
        "first_name": "JOSHUA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "217393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.