Fred Kersh DO PA

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Legal business name

FRED KERSH DO PA

Practice address

906 E Front St
Tyler, TX 75702-8328

Phone

(903) 593-9999

Fax

(903) 526-4239

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fred W Kersh, DO

Title

Owner

Phone

(903) 593-9999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1851499750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130757",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130757",
            "telephone_number": "903-593-9999",
            "fax_number": "903-526-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 E FRONT ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028328",
            "telephone_number": "903-593-9999",
            "fax_number": "903-526-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED KERSH DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "KERSH",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-593-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan E Frazier, O.D.
• Crystal L. Frazier I, PSY.D., M.P.A.
• Holli Lorainne Frazier, LVN
• Joan Marie Frazier, M.D.
• Molly Frazier
• Wendy L Freden, PA
• Bailey Fredenburg
• Fredrick J. Platt, DDS, PLLC
• Sheldon Ygnacio Freeberg, M.D.
• Cassandra Fay Freeland, MSN, APRN, FNP-BC

• Occupational Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Occupational Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.