Active NPI
Johnna K Kern, DO
- Internal Medicine Physician
- Kettering, OH
National Provider Identifier
1922415553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34.012138
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 395-6665
- Fax
- (937) 395-6668
- NPI assigned
- Jul 15, 2014
- Last updated
- Oct 15, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34.012138 | OH | Primary |
| Hospitalist Physician | 208M00000X | DO0000003175 | TN |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-6665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0318204 | Medicaid | OH |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.012138 | OH | MD | Internal Medicine Physician |
| DO0000003175 | TN | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1922415553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-395-6665",
"fax_number": "937-395-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-395-6665",
"fax_number": "937-395-6668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "JOHNNA",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.012138",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "DO0000003175",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318204",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
- Iain M Kelly Sr., OD
- Maria Kelly, PA-C
- Samuel Joseph Keltner, MD
- Alyssa Kembre, PT, DPT
- Olivia Rose Kepner, MSN, FNP-BC
- Kasindra Nicole Kerns, MS, PC
- Stephanie S. Kerr, CDA
- Kettering Affiliated Health Services (Kettering Breast Evaluation Center)
- Kettering Anesthesia Associates, Inc
- Kettering Card and Vas Surg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.