DR. BOBY G. THECKEDATH (NPI# 1194788315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194788315 |
| Entity Type | Individual |
| Full Name | DR. BOBY G. THECKEDATH |
| Credential | M.D |
| Practice Address |
9350 Us Highway 23 S Stanville KY 41659-9001 |
| Mailing Address |
Po Box 910 Martin KY 41649-0910 |
| Practice Telephone | 6064783636 |
| Practice Fax Number | 6062856619 |
| Mailing Telephone | 6062856400 |
| Mailing Fax Number | 6062856619 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2008-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
38387 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64096845 | 05 |
| Street Address |
9350 US HIGHWAY 23 S |
| City | STANVILLE |
| State | KY |
| Zip Code | 41659-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871536524 | Oxygen Plus Inc | Durable Medical Equipment & Medical Supplies | 9350 Us Highway 23 S, Box 205, Stanville, KY 41659-9001 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851520399 | Saint Joseph Health Inc | Clinic/Center | 9350 Us Highway 23 South Suite 3, Stanville, KY 41659 | 2009-07-06 |
| 1689758799 | Srinivas M Ammisetty | Internal Medicine | 9350 Us Hwy 23 South, Suite 104, Stanville, KY 41659 | 2006-10-25 |
| 1417149378 | Carol Newsome | Speech-Language Pathologist | 202 East Main St, Stanville, KY 41659 | 2007-08-15 |
| 1013063106 | East Ky Pulmonary & Sleep Disorder Ctr. | Internal Medicine | 9350 Us Hwy 23 South, Suite 104, Stanville, KY 41659 | 2007-01-25 |
| 1356508105 | Floyd County Health Department | Public Health or Welfare | 554 Bobcat Blvd, Stanville, KY 41659-7010 | 2008-05-20 |
| 1215420385 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 9350 Us Highway 23 S Ste 3, Stanville, KY 41659-9047 | 2018-06-12 |
| 1558386193 | Saint Joseph Health System Inc | Clinic/Center | 9350 Us Highway 23 South, Ste3, Stanville, KY 41659-9047 | 2006-07-13 |
| 1245790724 | Your Weigh Wellness Clinic LLP | Internal Medicine | 9405 Us Highway 23 S Ste 1, Stanville, KY 41659-9048 | 2019-03-21 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1518356377 | Loren Mikale Kidd | Nurse Practitioner | 9405 Us Highway 23 S Ste 2, Stanville, KY 41659-9048 | 2015-01-16 |
| Find all providers in zip 41659 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1154746600 | Owensboro Health Medical Group, Inc | Internal Medicine | 811 E Parrish Ave Ste 101, Owensboro, KY 42303-3258 | 2014-02-20 |
| 1679816292 | Laura Hamilton Adams | Internal Medicine | 800 Rose St. Mn- 524, Lexington, KY 40536 | 2013-04-02 |
| 1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
| 1376783092 | Robert Charles Frederich Jr. | Internal Medicine | 1030 S Broadway, Suite 5, Lexington, KY 40504-2681 | 2009-02-21 |
| 1619162880 | Diabetes & Endocrine Specialists Pllc | Internal Medicine | 330 Townepark Cir Ste 100, Louisville, KY 40243-2352 | 2007-09-11 |
| 1053526038 | Lina Yassine | Internal Medicine | 751 Greenridge Ln, Louisville, KY 40207-1307 | 2007-05-11 |
| 1427137223 | Nisha Roy Varghese | Internal Medicine | 330 Townepark Cir, Suite 100, Louisville, KY 40243-2352 | 2006-11-03 |
| 1114026879 | Delhi Associates | Internal Medicine | 3 Audubon Plaza Dr Ste 430, Louisville, KY 40217-1319 | 2006-09-21 |
| 1275543175 | Clemente V. Zulueta, Jr., Md, Pllc | Internal Medicine | 95 Jackson Hts, Ste 201, Jackson, KY 41339-6500 | 2006-08-09 |
| 1316953920 | Harold Edward Bays | Internal Medicine | 3288 Illinois Ave, Suite 101, Louisville, KY 40213-1014 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
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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.