DANVILLE MEDICAL SPECIALTY (NPI# 1326529827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326529827 |
| Entity Type | Organization |
| Organization Name | DANVILLE MEDICAL SPECIALTY |
| Practice Address |
504 Tenikat St Danville KY 40422-1751 |
| Mailing Address |
Po Box 23794 Belfast ME 04915-4488 |
| Practice Telephone | 8593198487 |
| Mailing Telephone | 8593198487 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | TIM GOOCH (OWNER) |
| Authorized Official Telephone | 8593198487 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
504 TENIKAT ST |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1356958565 | Kenneth Neal Hawker Jr. | Nurse Practitioner | 136 Capri Ct, Danville, VA 24541-5116 | 2020-09-30 |
| 1134752546 | Jeanette Marie Hay | Nurse Practitioner | 7 Manor Dr Ste B, Danville, IN 46122-9402 | 2020-02-14 |
| 1194297853 | Maurice Roberts | Nurse Practitioner | Godocs LLC, 949 Piney Forest Road, Danville, VA 24540-1591 | 2018-12-19 |
| 1811465461 | Amelia Brown | Nurse Practitioner | 101 Citation Dr Ste C, Danville, KY 40422-9227 | 2018-11-12 |
| 1528548328 | Abby Young | Nurse Practitioner | Danville Health Center, 26 Cedar Ln, Danville, VT 05828-0185 | 2018-08-21 |
| 1730668377 | Kristen Chilton Grabowski | Nurse Practitioner | 125 Executive Dr Ste J, Danville, VA 24541-4155 | 2018-08-13 |
| 1447761952 | April Yeatts Giles | Nurse Practitioner | 404 Airport Dr Ste A, Danville, VA 24540-5196 | 2017-10-24 |
| 1467970715 | Amelia Nicole Stevens I | Nurse Practitioner | 478 Whirlaway Dr Ste 200, Danville, KY 40422-9037 | 2017-09-07 |
| 1417472457 | Emily J Kendrick | Nurse Practitioner | 159 Executive Dr Ste C, Danville, VA 24541-4160 | 2017-08-10 |
| Find all providers in DANVILLE | ||||
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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.