TYLER J. ELAM (NPI# 1144646209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144646209 |
| Entity Type | Individual |
| Full Name | TYLER J. ELAM |
| Credential | D.O. |
| Practice Address |
432 16th St Ashland KY 41101-7693 |
| Mailing Address |
Po Box 550 Vanceburg KY 41179-0550 |
| Practice Telephone | 6063240128 |
| Practice Fax Number | 6063261372 |
| Mailing Telephone | 6062027359 |
| Mailing Fax Number | 6062027374 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04118 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100472630 | 05 | |
| KY | STATE MEDICAL LICENSE | 04118 | 01 |
| KY | MEDICARE MMS | K247850 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 255 Old Viking Dr, Morehead, KY 403517579 | (606) 784-2774 | 6067801118 |
| Street Address |
432 16TH ST |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-7693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466058 | Jerry W Lockard | Internal Medicine | 432 16th St, Suite B, Ashland, KY 41101-7693 | 2005-08-31 |
| 1235745761 | Jane Ellen Thomas | Dietitian, Registered | 432 16th St, Ashland, KY 41101-7693 | 2020-09-21 |
| 1629542469 | Lewis County Primary Care Center, Inc. | Pharmacy | 432 16th St, Ashland, KY 41101-7693 | 2019-01-15 |
| 1902206857 | Lewis County Primary Care Center, Inc. | Clinic/Center | 432 16th St, Ashland, KY 41101-7693 | 2014-08-28 |
| 1568876357 | Kristen Nicole Murphy | Family Medicine | 432 16th St, Ashland, KY 41101-7693 | 2014-06-19 |
| 1659785442 | Logan W Murphy | Family Medicine | 432 16th St, Ashland, KY 41101-7693 | 2014-06-19 |
| 1952689598 | Muna H Vonderheide | Nurse Practitioner | 432 16th St, Ashland, KY 41101-7693 | 2011-08-01 |
| 1952635260 | Stacy S Hasenauer | Nurse Practitioner | 432 16th St, Ashland, KY 41101-7693 | 2009-09-21 |
| 1063655835 | Lab One of Ohio Inc | Clinical Medical Laboratory | 432 16th St, Ashland, KY 41101-7693 | 2009-04-09 |
| 1568688687 | Jeannie Po Co | Internal Medicine | 432 16th St, Suite B, Ashland, KY 41101-7693 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1619405453 | Mount Ashland Family Practice Inc | Family Medicine | 611 Siskiyou Blvd Ste 8, Ashland, OR 97520-2151 | 2017-05-24 |
| 1427583418 | Curators of The University of Missouri | Family Medicine | 101 Redtail Dr Ste C, Ashland, MO 65010-1140 | 2017-04-27 |
| 1043611015 | Bellefonte Physician Services, Inc. | Family Medicine | 2910 Carter Ave, Ashland, KY 41101-1943 | 2014-09-10 |
| 1497980254 | Brianne Clark | Family Medicine | 709 W Oak, Ashland, KS 67831 | 2009-05-22 |
| 1922246594 | Matthew Lewis | Family Medicine | 2910 Carter Ave., Ashland, KY 41101 | 2009-02-04 |
| 1194987461 | Luke Anthony Stephens | Family Medicine | 101 Redtail Dr, Ste C, Ashland, MO 65010-1180 | 2008-06-27 |
| 1104085174 | Renee C Schroeder | Family Medicine | 213 10th Ave W, Ashland, WI 54806-1328 | 2008-06-05 |
| 1396911327 | Sanjiv Gupta M.d. P.s.c. | Family Medicine | 101 Ashland Dr, Ashland, KY 41101-7001 | 2008-04-30 |
| 1013191477 | Jerome Stanford Nitzberg | Family Medicine | 273 Granite St, Ashland, OR 97520-2746 | 2007-12-20 |
| Find all providers in ASHLAND | ||||
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| 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.