ASHLAND MEDICAL GROUP (NPI# 1073563219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073563219 |
| Entity Type | Organization |
| Organization Name | ASHLAND MEDICAL GROUP |
| Practice Address |
1061 Kenwood Dr Russell KY 41169-1527 |
| Practice Telephone | 6068335864 |
| Practice Fax Number | 6068339760 |
| Mailing Telephone | 6068335864 |
| Mailing Fax Number | 6068339760 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | MOHAMAD RIAD ABUL-KHOUDOUD (PRESIDENT) |
| Authorized Official Telephone | 6068335864 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1061 KENWOOD DR |
| City | RUSSELL |
| State | KY |
| Zip Code | 41169-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831656974 | Kimberly Ann Pope | Nurse Practitioner | 1061 Kenwood Dr, Russell, KY 41169-1527 | 2019-02-25 |
| 1427404029 | Carolyn Marie Marshall | Nurse Practitioner | 1061 Kenwood Dr, Russell, KY 41169-1527 | 2016-05-12 |
| 1780930560 | Bellefonte Physician Services, Inc. | Nurse Practitioner | 1061 Kenwood Dr, Russell, KY 41169-1527 | 2012-07-30 |
| 1649558941 | Carrie Elizabeth Mcguire | Nurse Practitioner | 1061 Kenwood Dr, Russell, KY 41169-1527 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346552999 | Joseph Ray Bowling | Optometrist | 112 S Vinson Blvd, Louisa, KY 41169 | 2010-07-12 |
| 1508031980 | Alissa R Parker | Nurse Practitioner | 105 Thompson Road, Russell, KY 41169 | 2008-04-25 |
| 1770703829 | Elmer H Mullins Jr. | Dentist | 1452 Diederich Blvd, Russell, KY 41169 | 2007-04-30 |
| 1790862233 | Premier Therapy & Health Centers, Inc. | Clinic/Center | 1490 Diederich Blvd, Russell, KY 41169 | 2006-11-01 |
| 1710073580 | Angela Dawn Lewis | Family Medicine | 1021 Kenwood Dr, Russell, KY 41169 | 2006-10-05 |
| 1972600609 | Tiffany Blanton | Counselor | 1448 Diederich Boulveard, Russell, KY 41169 | 2006-09-17 |
| 1821008335 | Lena A Harmon | Psychologist | 1448 Diederich Blvd, Russell, KY 41169 | 2006-08-08 |
| 1831645779 | Courtney Joyce | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2016-08-31 |
| 1245436757 | Debora K Reeves | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2007-06-22 |
| 1164044533 | Melissa Westfall | Registered Nurse | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-08 |
| Find all providers in zip 41169 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700754 | Yasinmd Pllc | Internal Medicine | 13304 Ridgemoor Dr, Prospect, KY 40059-7139 | 2019-09-27 |
| 1689232258 | Methodist Health, Inc. | Internal Medicine | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2019-05-30 |
| 1841661410 | Sleep Care Specialist of Louisville | Internal Medicine | 250 E Liberty St Ste 902, Louisville, KY 40202-1538 | 2015-10-08 |
| 1780926279 | Inspired Medical Services, LLC | Internal Medicine | 9805 Brownsboro Rd, Suite 101, Louisville, KY 40241-1125 | 2013-03-22 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1518275379 | Matthew James Craig | Internal Medicine | 1225 S Broadway Ste 201, Lexington, KY 40504-2701 | 2010-09-15 |
| 1992969604 | William Benjamin Cundiff | Internal Medicine | 110 Layman Ln, Elizabethtown, KY 42701-2523 | 2008-07-11 |
| 1124297361 | Rejmon Dedaj | Internal Medicine | 2609 New Hartford Rd, Owensboro, KY 42303-1316 | 2008-02-21 |
| 1689758799 | Srinivas M Ammisetty | Internal Medicine | 9350 Us Hwy 23 South, Suite 104, Stanville, KY 41659 | 2006-10-25 |
| 1790888683 | Firas A Koura | Internal Medicine | 1138 Lexington Rd Ste 230, Georgetown, KY 40324-9672 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
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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.