UROLOGY GROUP OF PADUCAH, P.S.C. (NPI# 1306935341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306935341 |
| Entity Type | Organization |
| Organization Name | UROLOGY GROUP OF PADUCAH, P.S.C. |
| Practice Address |
2603 Kentucky Ave Suite 102 Paducah KY 42003-3818 |
| Mailing Address |
2603 Kentucky Ave Suite 102 Paducah KY 42003-3814 |
| Practice Telephone | 2704423539 |
| Practice Fax Number | 2704422051 |
| Mailing Telephone | 2704423539 |
| Mailing Fax Number | 2704422051 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | DR. DONALD L SPICER (PRESIDENT) |
| Authorized Official Telephone | 2704423539 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE DMERC | 0152170001 | 01 |
| Street Address |
2603 KENTUCKY AVE SUITE 102 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656658 | Theodore Edwin Clyde Davies | Neurological Surgery | 2603 Kentucky Ave, Ste 404, Paducah, KY 42003-3814 | 2005-06-01 |
| 1760873939 | Brandy Buckhalter | Nurse Practitioner | 2603 Kentucky Ave, Suite 105, Paducah, KY 42003-3814 | 2015-02-10 |
| 1699179895 | Baptist Health Medical Group Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2014-10-17 |
| 1568862951 | Amy Knees | Nurse Practitioner | 2603 Kentucky Ave, Suite 301, Paducah, KY 42003-3814 | 2014-09-04 |
| 1932519766 | Chadwick Bassi | Podiatrist | 2603 Kentucky Ave, Suite 105, Paducah, KY 42003-3814 | 2014-05-01 |
| 1679998140 | Jonathan Gipson | Nurse Practitioner | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2014-02-20 |
| 1962832295 | Western Baptist Medical Ventures, Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 201, Paducah, KY 42003-3814 | 2013-11-22 |
| 1487924353 | Thomas James Gruber | Neurological Surgery | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2012-01-09 |
| 1013229368 | William Lee Titsworth | Neurological Surgery | 2603 Kentucky Ave, Suite 402, Paducah, KY 42003-3814 | 2010-07-01 |
| 1568699478 | Western Baptist Medical Ventures, Inc | Clinical Nurse Specialist | 2603 Kentucky Ave, Suite 304, Paducah, KY 42003-3814 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417187865 | William Harry Brigance | Urology | 6110 Blandville Rd, Paducah, KY 42001-8730 | 2009-07-20 |
| 1437112893 | Jenny J Franke | Urology | 1532 Lone Oak Rd Ste 310, Paducah, KY 42003-7942 | 2006-04-07 |
| 1518160910 | Michael Landers Knox | Urology | 2603 Kentucky Ave, Suite 102, Paducah, KY 42003-3814 | 2007-06-06 |
| 1871668525 | Brian S Johnston | Urology | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7913 | 2006-11-21 |
| 1952397218 | Gordon Grant Gehring | Urology | 2603 Kentucky Ave, Suite 102, Paducah, KY 42003-3814 | 2005-09-22 |
| 1457355323 | Robert G Kupper | Urology | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7913 | 2005-06-09 |
| 1629070701 | Ronald M Kupper | Urology | 2603 Kentucky Ave, Ste 102, Paducah, KY 42003-3815 | 2005-06-02 |
| 1275537540 | Charles W Ransler IIi | Urology | 2603 Kentucky Ave, Ste 102, Paducah, KY 42003-3815 | 2005-06-02 |
| 1588668867 | Donald L Spicer | Urology | 2603 Kentucky Ave, Ste 102, Paducah, KY 42003-3815 | 2005-06-02 |
| 1184626244 | Patrick K Ellison | Urology | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003-7913 | 2005-06-02 |
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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.