ST CLAIRE MEDICAL CENTER INC (NPI# 1053465666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053465666 |
| Entity Type | Organization |
| Organization Name | ST CLAIRE MEDICAL CENTER INC |
| Other Organization Name | CAVE RUN SURGICAL SPECIALISTS |
| Practice Address |
425 Clinic Dr Morehead KY 40351-1077 |
| Practice Telephone | 6067841049 |
| Practice Fax Number | 6067842542 |
| Mailing Telephone | 6067841049 |
| Mailing Fax Number | 6067842542 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | DONALD H LLOYD II (CEO/PRESIDENT) |
| Authorized Official Telephone | 6067836501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 14451 | KY | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 25805 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 20216 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 17362 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 15468 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 40455 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 40472 | KY | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
20079 | KY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 24696 | KY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 39293 | KY | Allopathic & Osteopathic Physicians |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
309 | KY | Podiatric Medicine & Surgery Service Providers |
| Y | 208600000X | Surgery | 27207 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65942153 | 05 |
| Other Name | Type Code |
|---|---|
| Cave Run Surgical Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710437330 | St Claire Medical Center Inc | Durable Medical Equipment & Medical Supplies | 222 Medical Cir, Morehead, KY 40351-1179 | 2016-10-06 |
| 1093982613 | St Claire Medical Center Inc | Clinic/Center | 135 N Hargis Ave, Morehead, KY 40351-1676 | 2008-05-13 |
| 1780692269 | St Claire Medical Center Inc | Rehabilitation Unit | 222 Medical Cir, Morehead, KY 40351-1179 | 2006-08-03 |
| 1366458788 | St Claire Medical Center Inc | Skilled Nursing Facility | 222 Medical Cir, Morehead, KY 40351-1179 | 2006-07-31 |
| 1538175955 | St Claire Medical Center Inc | Psychiatric Unit | 222 Medical Cir, Morehead, KY 40351-1179 | 2006-07-31 |
| 1124078696 | St Claire Medical Center Inc | Physical Medicine & Rehabilitation | 222 Medical Cir, Morehead, KY 40351-1179 | 2006-05-12 |
| Street Address |
425 CLINIC DR |
| City | MOREHEAD |
| State | KY |
| Zip Code | 40351-1077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619901816 | Oliver Thomas Newcomb IIi | Urology | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-07-11 |
| 1811262207 | Oliver Thomas Newcomb Iv | Urology | 425 Clinic Dr, Morehead, KY 40351-1077 | 2012-03-19 |
| 1114246840 | James Edward Lynch | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2010-05-20 |
| 1063663284 | Jacob E Perry | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2008-10-07 |
| 1477741718 | Cave Run Surgical Specialists | Clinic/Center | 425 Clinic Dr, Morehead, KY 40351-1077 | 2007-10-11 |
| 1982824850 | William Wyatt Shely | Pharmacist | 425 Clinic Dr, Morehead, KY 40351-1077 | 2007-04-26 |
| 1730210956 | Cave Run Pharmacy Inc | Pharmacy | 425 Clinic Dr, Morehead, KY 40351-1077 | 2007-03-08 |
| 1932237211 | Proudfoot & Associates, Psc | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2007-03-01 |
| 1639239734 | Cave Run Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-12-11 |
| 1740202167 | Richard W Proudfoot | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881267 | Ready Lab LLC | Clinical Medical Laboratory | 2575 Ky Hwy 801 North, Suite B, Morehead, KY 40351 | 2020-11-02 |
| 1235765082 | Debbie Lynn Hudson | Behavior Technician | The Kidspot Center, 12008 W Us 60, Olive Hill, KY 40351 | 2020-03-12 |
| 1578020210 | The Family Healing Center, Inc | Clinic/Center | 241 East Main Street, Morehead, KY 40351 | 2019-03-01 |
| 1407312184 | Kyle Charles Wolff | Specialist/Technologist | 111 Playforth Place, Morehead, KY 40351 | 2019-02-18 |
| 1184195992 | Alyssa Davis | Emergency Medicine | 111 Academic-athletic Center, Morehead, KY 40351 | 2018-12-06 |
| 1891262325 | Garla Kathleen Hart | Social Worker | 500 Hecks Plaza, Morehead, KY 40351 | 2018-11-02 |
| 1508365230 | Alyson Ewigman | Specialist/Technologist | 195 Academic-athletic Center, Morehead, KY 40351 | 2018-02-08 |
| 1417490764 | Jordan Kelley | Specialist/Technologist | 195 Academic Athletic Center, Morehead, KY 40351 | 2016-11-18 |
| 1275903924 | Terri Dickerson | Counselor | 505 Hecks Plaza, Morehead, KY 40351 | 2015-10-06 |
| 1013313162 | Mt Sterling Pediatrics | Family Medicine | 130 New Towne Square, Morehead, KY 40351 | 2014-11-17 |
| Find all providers in zip 40351 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730523432 | Katrina Ann Kolasa | Surgery | 245 Flemingsburg Rd, Morehead, KY 40351 | 2013-04-24 |
| 1114246840 | James Edward Lynch | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2010-05-20 |
| 1063663284 | Jacob E Perry | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2008-10-07 |
| 1932237211 | Proudfoot & Associates, Psc | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2007-03-01 |
| 1740202167 | Richard W Proudfoot | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-07-24 |
| 1962420620 | Jay M Burton | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-07-18 |
| 1386662104 | David W Victor Jr. | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-07-18 |
| 1912925660 | Mary S Phillips | Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841811866 | Wayne County Surgical Services | Surgery | 1 S Creek Dr Ste 112, Monticello, KY 42633-9472 | 2020-04-30 |
| 1548757859 | Lexington Vein Institute Pllc | Surgery | 3116 Harrodsburg Rd, Lexington, KY 40503-2709 | 2018-04-23 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1639535677 | David Geller, Md, Pllc | Surgery | 3999 Dutchmans Ln Ste 1e, Louisville, KY 40207-4741 | 2016-01-06 |
| 1134501679 | Gustavo Vincent Huerta | Surgery | 1760 Nicholasville Rd Ste 202, Lexington, KY 40503-1472 | 2015-06-21 |
| 1407237563 | Ashleigh Wright | Surgery | 800 Rose St # C-246, Lexington, KY 40536-0293 | 2015-06-15 |
| 1427439561 | Jahan David Miremami | Surgery | 1 Trillium Way Ste 301, Corbin, KY 40701-8426 | 2015-06-15 |
| 1831585199 | Joseph Robert Lewis | Surgery | 2596 Roseville Rd, Glasgow, KY 42141-8460 | 2015-04-13 |
| 1558761734 | Ashland Integrated Medicine Psc | Surgery | 155 W. Central Avenue, Ashland, KY 41101-7364 | 2014-08-26 |
| 1811300817 | Colin Talanda Fath | Surgery | University of Kentucky General Surgery 800 Rose St, Lexington, KY 40536-1009 | 2014-06-06 |
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| 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.