NAUTILUS HEALTH CARE GROUP, PLC (NPI# 1164866877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164866877 |
| Entity Type | Organization |
| Organization Name | NAUTILUS HEALTH CARE GROUP, PLC |
| Practice Address |
353 Bogle St Somerset KY 42503-2888 |
| Mailing Address |
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6018 |
| Practice Telephone | 6064513820 |
| Practice Fax Number | 6064513862 |
| Mailing Telephone | 9044463451 |
| Mailing Fax Number | 9044463032 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | DAVID BASSIN (CEO) |
| Authorized Official Telephone | 8556895105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100349080 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Ashland Dr Ste G1, Ashland, KY 411017084 | 6068334043 |
| Street Address |
353 BOGLE ST |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-2888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323184 | Amy Lankford Jones | Physician Assistant | 353 Bogle St, Suite C, Somerset, KY 42503-2888 | 2005-08-17 |
| 1104261403 | Lake Cumberland Physician Practices LLC | Nurse Practitioner | 353 Bogle St, Suite B, Somerset, KY 42503-2888 | 2013-05-01 |
| 1093092744 | Lake Cumberland Regional Hospital LLC | Nurse Practitioner | 353 Bogle St, Suite A, Somerset, KY 42503-2888 | 2011-11-09 |
| 1700198884 | Lake Cumberland Physician Practices LLC | Nurse Practitioner | 353 Bogle St, Suite C, Somerset, KY 42503-2888 | 2010-07-06 |
| 1841424611 | Lake Cumberland Physician Practices, LLC | Surgery | 353 Bogle St, Suite B, Somerset, KY 42503-2888 | 2009-05-08 |
| 1336307792 | Dennis Jose Joseph | Internal Medicine | 353 Bogle St, Suite B, Somerset, KY 42503-2888 | 2008-06-01 |
| 1235164492 | Allyson Morgan | Physical Therapist | 353 Bogle St, Suite 203, Somerset, KY 42503-2888 | 2006-07-12 |
| 1134154305 | Stephen Sims | Specialist/Technologist | 353 Bogle St, Suite 203, Somerset, KY 42503-2888 | 2006-07-12 |
| 1023041324 | Tamara B Cranfill | Speech-Language Pathologist | 353 Bogle St, Suite 203, Somerset, KY 42503-2888 | 2006-07-09 |
| 1124051438 | Nicole L Blevins | Occupational Therapist | 353 Bogle St, Suite 203, Somerset, KY 42503-2888 | 2006-07-09 |
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|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659602241 | Milum Wound Care, Psc. | Preventive Medicine | 1 Audubon Plaza Dr, L1 Suite A481, Louisville, KY 40217-1318 | 2010-01-20 |
| 1568503993 | East Tennessee Wound Care PC | Preventive Medicine | 4950 Norton Healthcare Blvd, Suite 101, Louisville, KY 40241-2845 | 2007-02-09 |
| 1912936212 | Cary Thomas Kirk | Preventive Medicine | 4950 Norton Healthcare Blvd, Suite 101, Louisville, KY 40241-2845 | 2006-07-01 |
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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.