CCMH CORPORATION (NPI# 1194949578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194949578 |
| Entity Type | Organization |
| Organization Name | CCMH CORPORATION |
| Other Organization Name | CARROLL COUNTY MEMORIAL HOSPITAL ER GROUP |
| Practice Address |
309 11th St Carrollton KY 41008-1435 |
| Practice Telephone | 5027323241 |
| Mailing Telephone | 5027323241 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2017-08-18 |
| Authorized Official Name | MRS. SHEILA TOMLINSON (ADMINISTRATIVE COORDINATOR) |
| Authorized Official Telephone | 5027323230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carroll County Memorial Hospital ER Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598798407 | Ccmh Corporation | Family Medicine | 202 Franklin Street, Warsaw, KY 41095 | 2006-07-07 |
| 1780075911 | Ccmh Corporation | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2015-02-10 |
| 1972739993 | Ccmh Corporation | Nurse Anesthetist, Certified Registered | 309 11th St, Carrollton, KY 41008-1435 | 2009-06-04 |
| 1528255692 | Ccmh Corporation | Surgery | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1982891057 | Ccmh Corporation | Clinic/Center | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1518154681 | Ccmh Corporation | Internal Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1003030487 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1558585091 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1225159601 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-03 |
| Street Address |
309 11TH ST |
| City | CARROLLTON |
| State | KY |
| Zip Code | 41008-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447240262 | Daniel A Shields | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2005-10-24 |
| 1508411562 | Kimberly Lane Smith | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-08-07 |
| 1598227175 | Toni Nicole Wright | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-04-03 |
| 1982184925 | Commonwealth Pain Associates Pllc | Durable Medical Equipment & Medical Supplies | 309 11th St, Carrollton, KY 41008-1435 | 2018-08-20 |
| 1801324363 | William Clark | Pharmacist | 309 11th St, Carrollton, KY 41008-1435 | 2017-05-30 |
| 1629422886 | Amber Adcock | Nurse Practitioner | 309 11th St, Carrollton, KY 41008 | 2016-04-14 |
| 1518339423 | Green Fern Emergency Physicians, LLC | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2015-10-30 |
| 1780075911 | Ccmh Corporation | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2015-02-10 |
| 1598107112 | Amanda Davis | Dietitian, Registered | 309 11th St, Carrollton, KY 41008-1435 | 2013-07-24 |
| 1851645501 | Erica A. Chowning | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2012-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233039 | Brett T Gibson | Chiropractor | 2519 Hwy 227 Unit D, Carrollton, KY 41008 | 2016-09-15 |
| 1326382136 | Carroll County Board of Education | Local Education Agency (LEA) | 813 Hawkins St, Carrollton, KY 41008 | 2012-11-16 |
| 1114229234 | Sy Dan Nguyen, Psc | Dentist | 2551 Us Highway 27, Carrollton, KY 41008 | 2010-11-22 |
| 1447300660 | Webster Drugs, Inc. | Pharmacist | Parklane Shopping Center, Carrollton, KY 41008 | 2007-01-11 |
| 1629139522 | Carroll County Medical Advisors Lp | General Acute Care Hospital | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1912073719 | Philip V Habas Dmd Psc | Dentist | 1209 Highland Ave, Suite L, Carrollton, KY 41008 | 2006-11-27 |
| 1447320353 | Carrollton Medical Associates | Internal Medicine | 307 Eleventh Street, Carrollton, KY 41008 | 2006-11-08 |
| 1922187475 | Carrollton Surgical Associates LLC | Surgery | 309 Eleventh Street, Carrollton, KY 41008 | 2006-11-03 |
| 1194818609 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 205 Marwill Dr, Carrollton, KY 41008 | 2006-10-02 |
| 1093819427 | John Thornton Newcomb | Dentist | 1714 Highland Ave., Carrollton, KY 41008 | 2006-09-07 |
| Find all providers in zip 41008 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205891009 | Adam H Miller | Emergency Medicine | 2801 N I35 Ste 130, Carrollton, TX 75007-6453 | 2006-04-18 |
| 1881113173 | Kathleen Jane Layman | Emergency Medicine | 705 Dixie St, Carrollton, GA 30117-3818 | 2017-09-18 |
| 1134271950 | Carroll County Medical Advisors,l.p. | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2007-01-18 |
| 1922065648 | John Engel Jr. | Emergency Medicine | 705 Dixie St, Carrollton, GA 30117-3818 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568000131 | Larry M Owens | Emergency Medicine | 22 Mercy Ct, Irvine, KY 40336-1331 | 2019-12-14 |
| 1245705052 | Caylon Napier | Emergency Medicine | 76 Willard Ln, Beattyville, KY 41311 | 2018-10-08 |
| 1376869461 | Nathan Michael Bullington | Emergency Medicine | 3950 Kresge Way Ste 405, Louisville, KY 40207-4637 | 2010-04-14 |
| 1437182987 | Bhadra Parikh | Emergency Medicine | 3699 Alexandria Pike, Cold Spring, KY 41076-1789 | 2006-07-08 |
| 1265490171 | Jmhc Inc | Emergency Medicine | 2325 Concrete Rd, Carlisle, KY 40311-9721 | 2006-05-02 |
| 1558336396 | Leland J Irwin | Emergency Medicine | 1740 Nicholasville Road, Lexington, KY 40503 | 2006-02-22 |
| 1912544958 | Methodist Health, Inc. | Emergency Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-12-10 |
| 1578917142 | Steve Duleh | Emergency Medicine | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2016-04-19 |
| 1144524802 | Baptist Community Health Services | Emergency Medicine | 2600 Stanley Gault Pkwy, Suite 201, Louisville, KY 40223-4197 | 2011-01-10 |
| 1508160276 | Baptist Community Health Services | Emergency Medicine | 2400 Eastpoint Pkwy, Suite 100, Louisville, KY 40223-4154 | 2011-01-10 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 41008 |
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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.