KENTUCKY MEDICAL REHAB CENTER (NPI# 1023276177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023276177 |
| Entity Type | Organization |
| Organization Name | KENTUCKY MEDICAL REHAB CENTER |
| Practice Address |
305 Stonegate Nicholasville KY 40356 |
| Mailing Address |
208 Stone Ave Lexington KY 40508-2644 |
| Practice Telephone | 8598851941 |
| Mailing Telephone | 8593091908 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2011-02-09 |
| Authorized Official Name | DR. DARRYL LEE DOCHTERMAN (RADIOLOGIST/GENERAL PRACTICE) |
| Authorized Official Telephone | 8595768637 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
15283 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
305 STONEGATE |
| City | NICHOLASVILLE |
| State | KY |
| Zip Code | 40356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414507 | Samantha Johanne Tatum | Occupational Therapist | 610 E Brannon Road Suite 200, Nicholasville, KY 40356 | 2019-12-11 |
| 1083117279 | Michelle M Harrison | Counselor | 100 W. Maple Street, Nicholasville, KY 40356 | 2018-03-14 |
| 1427598226 | Margaret Osbourne | Counselor | 101a Wind Haven Drive, Suite 203, Nicholasville, KY 40356 | 2017-02-28 |
| 1265818421 | Amanda Marie Sciretta | Speech-Language Pathologist | 105 Windhaven Drive, Suite 1, Nicholasville, KY 40356 | 2015-08-10 |
| 1538568720 | Carmen T Wurtz | Physical Therapist | 602 Keene Centre Dr, Nicholasville, KY 40356 | 2014-08-14 |
| 1780093609 | Kristin Borrelli | Psychologist | 2513 Bethel Rd, Nicholasville, KY 40356 | 2014-08-05 |
| 1003169343 | Megan Brittany Young | Occupational Therapist | 1123 Holloway Lane, Nicholasville, KY 40356 | 2012-10-24 |
| 1801145412 | Brannon Crossing Family Dental, Pllc | Dentist | 231 East Brannon Rd, Nicholasville, KY 40356 | 2012-08-29 |
| 1821392135 | The Methodist Home of Ky | Case Management | 1115 Ashgrove Road, Nicholasville, KY 40356 | 2010-12-29 |
| 1083934053 | Benjamin J Heckman | Dentist | 117 Bryant Dr, Nicholasville, KY 40356 | 2010-06-01 |
| Find all providers in zip 40356 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952722142 | Telerad of Kentucky Account Management LLC | Radiology | 1701 West Ln, Nicholasville, KY 40356-9614 | 2013-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300208 | Tammy Jo Wooding | Radiology | 2175 Rolling Hills Dr, Covington, KY 41017-5155 | 2020-09-11 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1174037949 | Justin Byron Hall | Radiology | 3452 Milam Ln, Lexington, KY 40502-3652 | 2017-11-30 |
| 1073046611 | Radiology Physician Solutions of Florida, LLC | Radiology | 106 Argyll Cir, Hazard, KY 41701-8932 | 2017-04-11 |
| 1750731048 | Brent A Pressman | Radiology | 800 Rose St Rm Hx-315, Lexington, KY 40536-1227 | 2016-06-16 |
| 1730541046 | Michael Daniel Dahle | Radiology | 530 S Jackson St # St-c07, Louisville, KY 40202-1675 | 2016-03-25 |
| 1245600949 | Advanced Ultrasound and Imaging LLC | Radiology | 7806 Turtle Run Ct, Prospect, KY 40059-8334 | 2015-10-07 |
| 1952783672 | Harit Kapoor | Radiology | 800 Rose St Rm No, Lexington, KY 40536-4818 | 2015-06-19 |
| 1093122046 | Kbc Somerset Imaging Pllc | Radiology | 40 Turpen Ct, Somerset, KY 42503-3464 | 2014-07-22 |
| 1881031680 | Breckenridge Medical Group, Psc | Radiology | 974 Breckenridge Ln, Suite 133, Louisville, KY 40207-4619 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
| City | NICHOLASVILLE |
| Zip Code | 40356 |
Please comment or provide details below to improve the information on KENTUCKY MEDICAL REHAB CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.