DR. FREDRICK WAYNE KERSH DO NPI 1871537621

NPI Information

  • NPI: 1871537621
  • Provider Name: DR. FREDRICK WAYNE KERSH, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3110 PARK CENTER DR
    TYLER, TX
    ZIP 75701
  • Phone: (903) 593-9999

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NPI Details

DR. Fredrick Wayne Kersh, DO is a family medicine in Tyler, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Fredrick Wayne Kersh, DO NPI is 1871537621. 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:

3110 PARK CENTER DR
TYLER, TX
ZIP 75701-215
Phone: (903) 593-9999
Fax: (903) 526-4239

The NPI 1871537621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of mild to moderate severity (HCPCS:99282)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)

The enumeration date for this NPI number is 6/15/2006 and was last updated on 12/6/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineH4460TEXASNo
2207Q00000XFamily MedicineH4460TEXASYes
32083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineH4460TEXASNo

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: 11/21/2025

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