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DR. THEODORE CHARLES KERNER MD NPI 1659303642


NPI Information

NPI: 1659303642
Provider Name: DR. THEODORE CHARLES KERNER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3155 MAPLEWOOD AVENUE
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 794-4372
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DR. Theodore Charles Kerner, MD is a diagnostic radiology radiology in Winston-salem, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Theodore Charles Kerner, MD NPI is 1659303642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3155 MAPLEWOOD AVENUE
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 794-4372
Fax: (336) 659-2379

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiology38482NORTH CAROLINANo
22085R0202XRadiologyDiagnostic Radiology38482NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18948556MEDICAIDNORTH CAROLINA
2E15089MEDICARE UPIN
32147448JMEDICARE PINNORTH CAROLINA
42147448AMEDICARE PINNORTH CAROLINA
52147448NMEDICARE PINNORTH CAROLINA
62147448MMEDICARE PINNORTH CAROLINA
72147448KMEDICARE PINNORTH CAROLINA
82147448PMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.