HEALTHSURE MEDICAL CLINIC PLLC (NPI# 1336435403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336435403 |
| Entity Type | Organization |
| Organization Name | HEALTHSURE MEDICAL CLINIC PLLC |
| Practice Address |
2406 Greatstone Pt Lexington KY 40504-3274 |
| Mailing Address |
2406 Greatstone Point Lexington KY 40504-3274 |
| Practice Telephone | 8592230006 |
| Practice Fax Number | 8592240005 |
| Mailing Telephone | 8592230006 |
| Mailing Fax Number | 8592240005 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2012-01-30 |
| Authorized Official Name | DR. PEACE N JESSA (OWNER) |
| Authorized Official Telephone | 8592230006 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
02871 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100185990 | 05 | |
| KY | ANTHEM | 000000736990 | 01 |
| Street Address |
2406 GREATSTONE PT |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790049211 | Sarah Bumgardner | Preventive Medicine | 128 Southland Dr, Lexington, KY 40503-1927 | 2012-06-28 |
| 1205147790 | Keisha Lashawn Mcfarlane | Preventive Medicine | Uk College of Public Health 111 Washington Ave, Lexington, KY 40536-2111 | 2010-06-29 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1922269307 | Stephanie K Pridemore | Preventive Medicine | 1618 Harrodsburg Rd, Lexington, KY 40504-3706 | 2008-06-19 |
| 1669411195 | Luther K Arnold | Preventive Medicine | 45 Lincoln St, Lexington, MA 02421-6805 | 2006-06-06 |
| 1669473864 | Robert L Boyer | Preventive Medicine | 1019 Majestic Dr, Ste 270, Lexington, KY 40513-1496 | 2005-08-10 |
| 1467847608 | Quincy Kareem Bascombe | Preventive Medicine | University of Kentucky 800 Rose Street, Lexington, KY 40536 | 2015-04-04 |
| 1639433998 | Betty Ouyang | Preventive Medicine | University of Kentucky 800 Rose St, Lexington, KY 40506-0001 | 2012-07-01 |
| 1790753002 | Rodney Charles Wadley Sr. | Preventive Medicine | 811 W Main St, Lexington, SC 29072 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854693 | Loren Cheri Tapp | Preventive Medicine | 5664 Beaver Rd, Union, KY 41091-8133 | 2017-04-11 |
| 1902195233 | Bluegrass Business Health | Preventive Medicine | 1150 Lexington Rd, Suite 104, Georgetown, KY 40324-8300 | 2011-04-07 |
| 1003053117 | Kenneth Michael Farmer | Preventive Medicine | 17718 Popedale Rd, Louisville, KY 40245-4353 | 2009-01-12 |
| 1235385154 | Kathleen Harter | Preventive Medicine | 2000 Fern Valley Rd, Ford Medical, Louisville, KY 40213-3502 | 2008-08-12 |
| 1275795197 | Dorathy Lachman | Preventive Medicine | 873 Melanie Ln, Richmond, KY 40475-2784 | 2008-07-01 |
| 1477721801 | Preston Station Occupational Health Services, Psc | Preventive Medicine | 1941 Bishop Ln Ste 205, Louisville, KY 40218-1973 | 2008-02-19 |
| 1548464290 | Gregory A Ornella | Preventive Medicine | Po Box 32310, Ford Motor Company, Louisville, KY 40232-2310 | 2007-06-14 |
| 1679792196 | Bradford Elrod Mutchler | Preventive Medicine | 1219 N. Main St, Beaver Dam, KY 42320 | 2007-04-24 |
| 1790801868 | Patricia Canfield | Preventive Medicine | 1825 Airport Exchange Blvd, Suite 100, Erlanger, KY 41018-3117 | 2007-03-21 |
| 1841343043 | Gene O'neil Wilson Jr. | Preventive Medicine | 1349 Westen St, Bowling Green, KY 42104-3364 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
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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.