KURT JAENICKE


Address: 1600 Medical Center Dr Ste 4500, Huntington, WV 25701-3655
Phone: 3046911400

KURT JAENICKE (NPI# 1073671673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073671673
Entity Type Individual
Full Name KURT JAENICKE
Credential MD
Practice Address 1600 Medical Center Dr Ste 4500
Huntington
WV 25701-3655
Practice Telephone 3046911400
Enumeration Date 2006-12-05
Last Update Date 2020-07-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology 16950 WV Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology 31309 KY Allopathic & Osteopathic Physicians
Y 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
16950 WV Allopathic & Osteopathic Physicians
N 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
31309 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM BCBS 000000583794 01
OH 0163719 05
KY ANTHEM BCBS 000000510048 01
KY 64313091 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2001 Winchester Ave, Ashland, KY 411017743 6063247351 6063247359

Office Location

Street Address 1600 MEDICAL CENTER DR STE 4500
City HUNTINGTON
State WV
Zip Code 25701-3655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386289064 Leanna Carlyn Profitt Nurse Practitioner 1600 Medical Center Dr Ste 4500, Huntington, WV 25701-3655 2019-11-17
1265922751 Niccia Ditrapano Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr Ste 4500, Huntington, WV 25701-3655 2018-05-10
1831689314 Katherine Addicott Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr Ste 4500, Huntington, WV 25701-3655 2018-05-10
1497245989 Melissa Nehls Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr Ste 4500, Huntington, WV 25701-3655 2018-05-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607803 Sara Tonya Hicks Technician 742 4th Avenue, Huntington, WV 25701 2020-10-21
1316550791 Ethan Scott Miller Counselor 1538 Charleston Ave., Huntington, WV 25701 2020-08-26
1336752674 Brock Riley Hapney Student in an Organized Health Care Education/Training Program 1538 Charelston Avenue, Huntington, WV 25701 2020-08-26
1558972224 Ardith Ruth Bartram Technician 4045 C 8th Street Road, Huntington, WV 25701 2020-08-14
1144839614 Randall Edward Short Behavior Technician 10th Sixth Avenue West, Huntington, WV 25701 2020-07-30
1609495191 Melanie Jean Howard Pharmacist 1538 Charleston Avenue, Huntington, WV 25701 2020-04-14
1205472016 Kelly Kauffer Technician 1012 Johns Court, Huntington, WV 25701 2019-11-27
1265082648 Matt France Technician 3650 Taymor Rd, Huntington, WV 25701 2019-09-17
1538649348 Kathryn Markus Pharmacist 1500 Medical Center Drive, Huntington, WV 25701 2018-08-21
1487155636 Heather Marie Rogers Nurse Practitioner 940 4th Ave, Huntington, WV 25701 2018-02-23
Find all providers in zip 25701

Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Competitor

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City HUNTINGTON
Zip Code 25701

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Dataset Information

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.

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