DIABETIC HEALTH, INC. (NPI# 1275856247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275856247 |
| Entity Type | Organization |
| Organization Name | DIABETIC HEALTH, INC. |
| Practice Address |
509 Memorial Dr Suite 2 Manchester KY 40962-6195 |
| Mailing Address |
509 Memorial Dr Manchester KY 40962-6195 |
| Practice Telephone | 6065988813 |
| Practice Fax Number | 6065980983 |
| Mailing Telephone | 6065988813 |
| Mailing Fax Number | 6065980983 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2013-10-24 |
| Authorized Official Name | STEVEN D SPADY (OWNER) |
| Authorized Official Telephone | 6065988813 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 710016290 | 05 | |
| KY | ANTHEM BLUE CROSS BLUE SHIELD | 000000672417 | 01 |
| Street Address |
509 MEMORIAL DR SUITE 2 |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-6195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811941008 | Steven D. Spady | Clinic/Center | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2006-05-20 |
| 1194195230 | Gloria Zerbee | Nurse Practitioner | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2015-10-01 |
| 1992041131 | Clay Medi Center Pharmacy LLC | Pharmacy | 509 Memorial Dr, Manchester, KY 40962-6195 | 2012-12-17 |
| 1457592693 | Memorial Hospital, Inc. | Internal Medicine | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2009-03-18 |
| 1851541197 | Memorial Hospital | Clinic/Center | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2008-09-23 |
| 1154587947 | Gail Harkins | Nurse Practitioner | 509 Memorial Dr, Manchester, KY 40962-6195 | 2008-08-01 |
| 1497887921 | Memorial Hospital, Inc. | Clinic/Center | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2007-03-10 |
| 1235292764 | Joseph James | Internal Medicine | 509 Memorial Dr, Manchester, KY 40962-6195 | 2006-12-18 |
| 1053428003 | Medi Center Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 509 Memorial Dr, Ste 1, Manchester, KY 40962-6195 | 2006-08-24 |
| 1356389514 | Crystal Smith | Physician Assistant | 509 Memorial Dr, Suite 2, Manchester, KY 40962-6195 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| 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 |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1669098570 | Manchester Family Healthcare | Family Medicine | 804 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-06-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1790204311 | Ballwin Family Medicine LLC | Family Medicine | 653 Big Bend Rd, Manchester, MO 63021-7723 | 2017-09-14 |
| 1659801892 | Pinnacle Health Regional Physicians | Family Medicine | 4314 N George St Ext'd, Manchester, PA 17345-1307 | 2017-06-19 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1689019242 | R. L. Williams Family Medicine, Pllc | Family Medicine | 1000 Mcarthur St, Manchester, TN 37355-2420 | 2013-05-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
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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.