CLARK REGIONAL PHYSICIAN PRACTICES LLC


Address: 225 Hospital Drive Suite 200b, Winchester, KY 40391-1158
Phone: 8597379900

CLARK REGIONAL PHYSICIAN PRACTICES LLC (NPI# 1073864559) 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) 1073864559
Entity Type Organization
Organization Name CLARK REGIONAL PHYSICIAN PRACTICES LLC
Other Organization Name WINCHESTER GENERAL SURGERY
Practice Address 225 Hospital Drive Suite 200b
Winchester
KY 40391-1158
Mailing Address 330 Seven Springs Way
Brentwood
TN 37027-5098
Practice Telephone 8597379900
Mailing Telephone 6159207905
Mailing Fax Number 6159208935
Enumeration Date 2012-09-25
Last Update Date 2017-09-27
Authorized Official Name SARA MILLER (DIRECTOR)
Authorized Official Telephone 6152029581
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Winchester General Surgery Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629489075 Clark Regional Physician Practices LLC Nurse Practitioner 225 Hospital Dr, Ste 200b, Winchester, KY 40391-7676 2014-05-19
1508204223 Clark Regional Physician Practices LLC Internal Medicine 225 Hospital Dr, Suite 300a, Winchester, KY 40391-7676 2013-06-05
1114360583 Clark Regional Physician Practices LLC Family Medicine 120 Professional Ave, Winchester, KY 40391-1116 2013-04-16
1144663220 Clark Regional Physician Practices LLC Nurse Practitioner 225 Hospital Dr, Suite 200b, Winchester, KY 40391-7676 2013-04-09

Office Location

Street Address 225 HOSPITAL DRIVE SUITE 200B
City WINCHESTER
State KY
Zip Code 40391-1158

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255838710 Sharrock Strength and Rehab LLC Clinic/Center 1932 Bypass Road, Winchester, KY 40391 2018-04-11
1316264385 Yvonne Marie Pendleton Massage Therapist 126 Professional Ave., Winchester, KY 40391 2010-04-29
1346478310 Mack Anderson Kidd IIi Registered Nurse 105 Lindberg Rd., Winchester, KY 40391 2009-06-29
1043487572 Rankin Douglas Skinner Dentist 726 Boonesboro Plaza, Winchester, KY 40391 2008-05-14
1427233592 Clark County Health Department Public Health or Welfare 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 2008-01-08
1437334505 Clark County Health Department Public Health or Welfare 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 2008-01-08
1598886251 Winchester Open Mri Radiology 475 Shoppers Village Drive, Winchester, KY 40391 2007-04-02
1265509285 James Warren Rice Orthopaedic Surgery 400 Shoppers Dr, Winchester, KY 40391 2006-11-29
1932279262 J Todd Scobee Dmd Psc Clinic/Center 1216 West Lexington Ave, Winchester, KY 40391 2006-11-08
1396823936 Commonwealth Urology, Psc Urology 68 East Elkin Street, Stanton, KY 40391 2006-11-01
Find all providers in zip 40391

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891202412 Valley Physician Enterprise, Inc. Surgery 1870 Amherst St Ste 2a, Winchester, VA 22601-2841 2018-01-04
1679736797 Murielle Brohez Surgery 225 Hospital Dr Ste 315, Winchester, KY 40391-7628 2008-07-09
1053432856 Shalini Rohini Reddy Surgery 400 Campus Blvd Ste 210, Winchester, VA 22601-6906 2007-04-02
1972650778 Matthew Borkon Surgery 1870 Amherst St Ste 300, Winchester, VA 22601-2873 2007-01-04
1861403065 Damian T Szewczyk Surgery 83 Memorial Dr, Winchester, TN 37398-2401 2006-08-11
1336174705 Kenneth Grant Mason Surgery 400 Campus Blvd Ste 220, Winchester, VA 22601-6906 2006-07-12
1144268350 Winchester Medical Center Surgery 347 Westside Station Dr, Winchester, VA 22601-2840 2006-06-02
1639164858 Troy M Glembot Surgery 1870 Amherst St Ste F, Winchester, VA 22601-2841 2005-09-14
1144215609 James S Wiedower Surgery 1870 Amherst St Ste C, Winchester, VA 22601-2841 2005-09-12
1114911187 Anita Minghini Surgery 400 Campus Blvd., Suite 220, Winchester, VA 22601-6906 2005-09-07
Find all providers in WINCHESTER

Competitor

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City WINCHESTER
Zip Code 40391

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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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