KENTUCKY MSO LLC


Address: 1154 Lexington Rd, Georgetown, KY 40324-9330
Phone: 5028633329

KENTUCKY MSO LLC (NPI# 1093051807) 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) 1093051807
Entity Type Organization
Organization Name KENTUCKY MSO LLC
Other Organization Name GEORGETOWN CARDIOLOGY
Practice Address 1154 Lexington Rd
Georgetown
KY 40324-9330
Practice Telephone 5028633329
Practice Fax Number 5028633303
Mailing Telephone 5028633329
Mailing Fax Number 5028633303
Enumeration Date 2012-12-26
Last Update Date 2012-12-26
Authorized Official Name TIMOTHY D VAUGHN (VICE PRESIDENT)
Authorized Official Telephone 6153728500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Georgetown Cardiology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417224585 Kentucky Mso LLC Family Medicine 3501 Main St, Stamping Ground, KY 40379-9631 2011-11-17
1568907798 Kentucky Mso LLC Internal Medicine 196 Bevins Ln, Suite F, Georgetown, KY 40324-8534 2016-12-26
1164867883 Kentucky Mso LLC Nurse Practitioner 1138 Lexington Rd, Suite 140, Georgetown, KY 40324-9672 2013-05-08
1508101460 Kentucky Mso LLC Surgery 1138 Lexington Rd, Suite 230, Georgetown, KY 40324-9672 2012-12-04
1336483957 Kentucky Mso LLC Physician Assistant 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9330 2012-11-20
1255683827 Kentucky Mso LLC Internal Medicine 1138 Lexington Rd, Ste 130, Georgetown, KY 40324-9672 2012-10-08
1710232400 Kentucky Mso LLC Family Medicine 360 Amsden Ave, Suite 302, Versailles, KY 40383-1851 2012-07-18
1710252622 Kentucky Mso LLC Family Medicine 1138 Lexington Rd, Suite 130, Georgetown, KY 40324-9672 2012-03-12
1841570363 Kentucky Mso LLC Surgery 360 Amsden Ave, Suite 302, Versailles, KY 40383-1851 2011-08-29
1316239841 Kentucky Mso LLC Psychiatry & Neurology 1140 Lexington Rd, Suite 105, Georgetown, KY 40324-9330 2011-05-03

Office Location

Street Address 1154 LEXINGTON RD
City GEORGETOWN
State KY
Zip Code 40324-9330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467672683 Paula K Lenox Dmd Psc Dentist 1154 Lexington Rd, Ste 2, Georgetown, KY 40324 2007-04-30
1992015200 Paula Kaye Lenox Dentist 1154 Lexington Rd, Suite 2, Georgetown, KY 40324-9330 2010-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306457577 Katherine Lynn Helly Specialist/Technologist 108 Crawford Dr, Georgetown, KY 40324 2020-08-12
1629530597 Hannah Cheyenne Lambert Occupational Therapy Assistant 12 Dover Dr, Georgetown, KY 40324 2019-04-01
1669932430 Kathlyn Reeves Cummings Occupational Therapist 112 Dover Drive Dover Manor, Georgetown, KY 40324 2019-03-20
1356848147 Conundrum, Inc Home Health 107 Frazier Ct Ste 2b, Georgetown, KY 40324 2018-04-09
1831698893 Staci Case Counselor 110 E. Main St. Suite 111, Georgetown, KY 40324 2018-02-06
1821537002 Lesa Young Counselor 112 Gatewood Drive, Georgetown, KY 40324 2017-02-21
1508235904 Recovery Works Specialist 3109 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1417326810 Recovery Works Specialist 3111 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1982073383 Recovery Works Specialist 3109-5 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1871962274 Recovery Works Specialist 3111-5 Cincinnati Road, Georgetown, KY 40324 2015-09-16
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922256353 Texas Cardiovascular Consultants, Pa Internal Medicine 2114 Scenic Dr, Georgetown, TX 78626-7728 2008-08-27
1568592467 Michael F Wright Internal Medicine 1990 County Road 127, Georgetown, TX 78626-2485 2007-03-07
1023164340 Gene F Conway Internal Medicine 315 E State St, Georgetown, OH 45121-1416 2007-01-27
1710096839 Ali Ghasemzadeh Internal Medicine 5062 State Route 125, Georgetown, OH 45121-9561 2006-08-30
1679902340 Kentucky Mso, LLC Internal Medicine 1140 Lexington Rd, Georgetown, KY 40324-9330 2013-11-04
1720257983 Inlet Cardiopulmonary & Associates Internal Medicine 1011 N Fraser St, Georgetown, SC 29440-2848 2008-02-21
1174700306 Ag Cardiology, Inc Internal Medicine 5062 State Route 125, Georgetown, OH 45121-9561 2008-01-30
1518166354 Michael Dwayne Henderson Internal Medicine 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7724 2007-07-12
1194717538 Stephen H Garland Internal Medicine 1900 Scenic Dr, Suite 3308, Georgetown, TX 78626-7703 2005-08-22
1063413060 Robert F Denyer Internal Medicine 1900 Scenic Dr, Ste 3308, Georgetown, TX 78626-7703 2005-08-02
Find all providers in GEORGETOWN

Competitor

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City GEORGETOWN
Zip Code 40324

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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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