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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Georgetown Cardiology | Doing Business As Name - Organization |
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 |
Street Address |
1154 LEXINGTON RD |
City | GEORGETOWN |
State | KY |
Zip Code | 40324-9330 |
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 |
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 |
Find all providers in zip 40324 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
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. |
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 |
City | GEORGETOWN |
Zip Code | 40324 |
Please comment or provide details below to improve the information on KENTUCKY MSO LLC.
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.