MEDICAL SPECIALISTS OF CENTRAL KENTUCKY, P.S.C.


Address: 350 Park St, Suite 206, Bowling Green, KY 42101-1784
Phone: 2707460440

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
26582 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 350 PARK ST
SUITE 206
City BOWLING GREEN
State KY
Zip Code 42101-1784

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BOWLING GREEN
Zip Code 42101

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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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