Active NPI
Douglas Robert Kerr, MD
- Orthopaedic Surgery Physician
- Binghamton, NY
National Provider Identifier
1770691487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 142012
- Practice address
- 65 Pennsylvania Avenue
Binghamton, NY 13903 - Phone
- (607) 723-5393
- Fax
- (607) 771-0803
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 142012 | NY | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 142012 | NY |
Addresses
Primary practice location
65 Pennsylvania Avenue
Binghamton, NY 13903
Mailing address
65 Pennsylvania Avenue
Binghamton, NY 13903
Phone (607) 723-5393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00819874 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1770691487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 PENNSYLVANIA AVENUE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13903",
"telephone_number": "607-723-5393",
"fax_number": "607-771-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PENNSYLVANIA AVENUE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13903",
"telephone_number": "607-723-5393",
"fax_number": "607-771-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "DOUGLAS",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "142012",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "142012",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00819874",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.