MEDICAL SPECIALISTS OF CENTRAL KENTUCKY, P.S.C. (NPI# 1134320492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134320492 |
Entity Type | Organization |
Organization Name | MEDICAL SPECIALISTS OF CENTRAL KENTUCKY, P.S.C. |
Practice Address |
350 Park St Suite 206 Bowling Green KY 42101-1784 |
Mailing Address |
Po Box 51726 Bowling Green KY 42102-6726 |
Practice Telephone | 2707460440 |
Practice Fax Number | 2707460882 |
Mailing Telephone | 2707460440 |
Mailing Fax Number | 2707460882 |
Enumeration Date | 2007-05-31 |
Last Update Date | 2008-02-01 |
Authorized Official Name | DR. REBECCA DAWN SHADOWEN (OWNER, PRESIDENT) |
Authorized Official Telephone | 2707460440 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
26582 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | BLUE CROSS BLUE SHIELD | 000000051271 | 01 |
KY | CAQH | 10806088 | 01 |
KY | NPI FOR DR. R. SHADOWEN | 1255438420 | 01 |
KY | 65935504 | 05 | |
KY | RR MEDICARE | CC3484 | 01 |
Street Address |
350 PARK ST SUITE 206 |
City | BOWLING GREEN |
State | KY |
Zip Code | 42101-1784 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831193713 | Paul Cofoid | Internal Medicine | 350 Park St, Bowling Green, KY 42101-1784 | 2005-06-09 |
1467016337 | Megan Mcdavitt | Nurse Practitioner | 350 Park St, Bowling Green, KY 42101-1784 | 2019-04-26 |
1184016123 | Bowling Green Warren County Community Hospital Corporation | Nurse Practitioner | 350 Park St, 204, Bowling Green, KY 42101-1784 | 2015-02-27 |
1689062044 | Heather Lea Finney | Advanced Practice Midwife | 350 Park St, Suite 203, Bowling Green, KY 42101-1784 | 2015-01-07 |
1174945786 | Jason Stanley | Nurse Anesthetist, Certified Registered | 350 Park St, Suite 203b, Bowling Green, KY 42101-1784 | 2014-01-16 |
1023352465 | Cody S. Campbell | Nurse Anesthetist, Certified Registered | 350 Park St, Suite 203b, Bowling Green, KY 42101-1784 | 2012-11-26 |
1699040386 | Christopher Matthew Thomas | Nurse Anesthetist, Certified Registered | 350 Park St, Suite 203b, Bowling Green, KY 42101-1784 | 2012-03-14 |
1508135294 | Michael Richard Heck | Nurse Anesthetist, Certified Registered | 350 Park St, Suite 203b, Bowling Green, KY 42101-1784 | 2011-12-24 |
1285902056 | Stephanie G Ford | Nurse Anesthetist, Certified Registered | 350 Park St, Suite 203b, Bowling Green, KY 42101-1784 | 2011-12-08 |
1861798431 | Ronak Shivlalbhai Chaudhari | Internal Medicine | 350 Park St, Bowling Green, KY 42101-1784 | 2011-01-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
Find all providers in zip 42101 |
Taxonomy Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
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 |
---|---|---|---|---|
1144584665 | Patricia Tellez Watson | Internal Medicine | 720 2nd Ave Ste 307, Bowling Green, KY 42101-1718 | 2012-06-28 |
1023220092 | Pinky Dalal Gaba | Internal Medicine | 427 Us 31w Byp, Bowling Green, KY 42101-1703 | 2007-05-04 |
1255438420 | Rebecca Dawn Shadowen | Internal Medicine | 350 Park St, Suite 206, Bowling Green, KY 42101-1784 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902371404 | Evelyn Bertha Villacorta Cari | Internal Medicine | 740 S Limestone Fifth Floor - Wing D Room L504, Lexington, KY 40536-0001 | 2018-10-10 |
1033406277 | Gregory Balabanian | Internal Medicine | 200 Medical Center Dr Ste 2o, Hazard, KY 41701-9422 | 2011-07-08 |
1588802946 | Sean M Mctigue | Internal Medicine | Uk Department of Pediatrics, 800 Rose Street, Ms-465, Lexington, KY 40536-0001 | 2009-01-22 |
1821256397 | Arif H. Khan, Md., Pllc | Internal Medicine | 64 Trent Cir, London, KY 40744-6463 | 2008-05-30 |
1962684993 | Merilda Onyfel Blanco-guzman | Internal Medicine | 234 E Gray St Ste 768, Louisville, KY 40202-1901 | 2007-11-30 |
1003003351 | Medicine Pllc | Internal Medicine | 15103 Chestnut Ridge Cir, Louisville, KY 40245-5291 | 2007-10-01 |
1083836399 | Andrea Banks | Internal Medicine | 1720 Nicholasville Rd Ste 602, Lexington, KY 40503-1488 | 2007-05-03 |
1659413136 | Allen Thomas Griffin II | Internal Medicine | 1138 Lexington Rd Ste 290, Georgetown, KY 40324 | 2007-02-13 |
1770678435 | Martin Earl Evans | Internal Medicine | University of Kentucky School of Medicine, 800 Rose St., Lexington, KY 40536-0298 | 2006-10-04 |
1225049661 | Barbara T Wojda | Internal Medicine | 125 Fairfax Ave, Louisville, KY 40207-4905 | 2006-08-10 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 42101 |
Please comment or provide details below to improve the information on MEDICAL SPECIALISTS OF CENTRAL KENTUCKY, P.S.C..
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.