RICHARD W MEDLEY JR. (NPI# 1225049232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225049232 |
| Entity Type | Individual |
| Full Name | RICHARD W MEDLEY JR. |
| Credential | MD |
| Practice Address |
1220 Frederica St Owensboro KY 42301-3057 |
| Practice Telephone | 2706838858 |
| Mailing Telephone | 2706838858 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-07-22 |
| NPI Deactivation Date | 05/14/2013 |
| NPI Reactivation Date | 2013-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 13758 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000068534 | 01 |
| DEA # | AM2995617 | 01 | |
| KY | 64137581 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550638 | Richard N Medley IIi | Urology | 1919 State St, New Albany, IN 47150-4929 | 2005-10-04 |
| Street Address |
1220 FREDERICA ST |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1093963563 | Lior Shamai | Internal Medicine | 1301 Pleasant Valley Road, Suite 202, Owensboro, KY 42303-9619 | 2008-09-08 |
| 1770748667 | Jeremy D. Luckett | Internal Medicine | 2851 New Hartford Rd Ste A, Owensboro, KY 42303 | 2008-07-21 |
| 1215962212 | Kentuckiana Heart & Vascular Specialists Psc | Internal Medicine | 815 East Parrish Avenue, Suite 330, Owensboro, KY 42303 | 2006-07-11 |
| 1881623395 | Bernard J Buchanan | Internal Medicine | 1030a Burlew Blvd, Owensboro, KY 42303-1735 | 2006-06-30 |
| 1184678179 | Robert Neil Pope | Internal Medicine | 1126 Triplett St, Suite 102, Owensboro, KY 42303-3155 | 2006-05-22 |
| 1699728535 | Samuel C Dunlany | Internal Medicine | 1400 Robin Rd, Owensboro, KY 42301-2845 | 2006-05-19 |
| 1891792818 | Mahendra C Maru | Internal Medicine | 1930 E Parrish Ave, Owensboro, KY 42303-1443 | 2005-07-05 |
| 1598761702 | Patrick Brian Gipe | Internal Medicine | 3346 Professional Park Dr, Owensboro, KY 42303-4551 | 2005-06-22 |
| 1760486021 | Randy L. Wolfe | Internal Medicine | 1325 Triplett St, Owensboro, KY 42303-3163 | 2005-06-02 |
| 1528676673 | Health Quest Medical Care | Internal Medicine | 2609 New Hartford Rd Ste 1, Owensboro, KY 42303-1316 | 2020-07-15 |
| Find all providers in OWENSBORO | ||||
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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.