KENTUCKY MSO LLC (NPI# 1336483957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336483957 |
| Entity Type | Organization |
| Organization Name | KENTUCKY MSO LLC |
| Other Organization Name | CENTRAL KENTUCKY ONCOLOGY AND HEMATOLOGY |
| Practice Address |
1140 Lexington Rd Suite 202 Georgetown KY 40324-9330 |
| Practice Telephone | 5028685603 |
| Practice Fax Number | 5028685612 |
| Mailing Telephone | 5028685603 |
| Mailing Fax Number | 5028685612 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | KATHY TEAGUE (CORPORATE SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Central Kentucky Oncology and Hematology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 Hospital Dr Ste 325, Winchester, KY 403917665 | 5028685603 | 5028685608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417224585 | Kentucky Mso LLC | Family Medicine | 3501 Main St, Stamping Ground, KY 40379-9631 | 2011-11-17 |
| 1568907798 | Kentucky Mso LLC | Internal Medicine | 196 Bevins Ln, Suite F, Georgetown, KY 40324-8534 | 2016-12-26 |
| 1164867883 | Kentucky Mso LLC | Nurse Practitioner | 1138 Lexington Rd, Suite 140, Georgetown, KY 40324-9672 | 2013-05-08 |
| 1093051807 | Kentucky Mso LLC | Internal Medicine | 1154 Lexington Rd, Georgetown, KY 40324-9330 | 2012-12-26 |
| 1508101460 | Kentucky Mso LLC | Surgery | 1138 Lexington Rd, Suite 230, Georgetown, KY 40324-9672 | 2012-12-04 |
| 1255683827 | Kentucky Mso LLC | Internal Medicine | 1138 Lexington Rd, Ste 130, Georgetown, KY 40324-9672 | 2012-10-08 |
| 1710232400 | Kentucky Mso LLC | Family Medicine | 360 Amsden Ave, Suite 302, Versailles, KY 40383-1851 | 2012-07-18 |
| 1710252622 | Kentucky Mso LLC | Family Medicine | 1138 Lexington Rd, Suite 130, Georgetown, KY 40324-9672 | 2012-03-12 |
| 1841570363 | Kentucky Mso LLC | Surgery | 360 Amsden Ave, Suite 302, Versailles, KY 40383-1851 | 2011-08-29 |
| 1316239841 | Kentucky Mso LLC | Psychiatry & Neurology | 1140 Lexington Rd, Suite 105, Georgetown, KY 40324-9330 | 2011-05-03 |
| Street Address |
1140 LEXINGTON RD SUITE 202 |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-9330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164884 | Charles Richard Hill | Obstetrics & Gynecology | 1140 Lexington Rd, Ste 205, Georgetown, KY 40324-9330 | 2005-06-14 |
| 1245852474 | Melissa Diane Williams | Nurse Practitioner | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2020-05-11 |
| 1134769904 | Peyton Madison Blanton | Nurse Practitioner | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2020-01-09 |
| 1588028617 | Kelly R. Woodard | Nurse Anesthetist, Certified Registered | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2016-04-05 |
| 1679902340 | Kentucky Mso, LLC | Internal Medicine | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2013-11-04 |
| 1366885774 | The Center for Better Hearing, LLC | Audiologist | 1140 Lexington Rd, Suite 102, Georgetown, KY 40324-9330 | 2013-04-16 |
| 1891055877 | Vinod Kumar Muniswamy | Anesthesiology | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2012-05-23 |
| 1821383662 | Jason Rasmussen Md Pllc | Surgery | 1140 Lexington Rd, Suite 203, Georgetown, KY 40324-9330 | 2011-06-09 |
| 1316239841 | Kentucky Mso LLC | Psychiatry & Neurology | 1140 Lexington Rd, Suite 105, Georgetown, KY 40324-9330 | 2011-05-03 |
| 1376867028 | Jessica R. Schertz | Nurse Anesthetist, Certified Registered | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2010-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184712093 | David Lee Milling | Internal Medicine | 2405 N Fraser St, Georgetown, SC 29440-7764 | 2006-10-10 |
| 1649239989 | Waccamaw Oncology, Pa | Internal Medicine | 2405 N Fraser St, Georgetown, SC 29440-6410 | 2006-03-23 |
| 1033102538 | Carol Ann Bogdan | Internal Medicine | 2405 N Fraser St, Georgetown, SC 29440-7764 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576523 | Rafiq U Rahman Md Psc | Internal Medicine | 101 Financial Pl Ste B103, Elizabethtown, KY 42701-8450 | 2017-02-07 |
| 1659823573 | Covenant Oncology & Hematology LLC | Internal Medicine | 93 C. Michael Davenport Blvd, Suite 2, Frankfort, KY 40601-9702 | 2016-10-26 |
| 1184018285 | James Mobley | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-0293 | 2015-03-26 |
| 1770837270 | Chaitanya Iragavarapu | Internal Medicine | Uk Hematology/ Bmt Clinic, 800 Rose St Roach Cancer Ctr 1st Fl, Lexington, KY 40536-0293 | 2012-11-05 |
| 1285999284 | Surabhi Pathak | Internal Medicine | 613 23rd St Ste 19, Ashland, KY 41101-2878 | 2012-07-06 |
| 1427316900 | Ryan Woods | Internal Medicine | University of Kentucky Gme, 800 Rose St. Room Hq-101, Lexington, KY 40536-0293 | 2012-05-02 |
| 1730447814 | Natalie W. Harper | Internal Medicine | 521 Robinbrooke Blvd, Elizabethtown, KY 42701-5904 | 2012-04-26 |
| 1083938542 | Metro Hematology Oncology, Pllc | Internal Medicine | 3620 Wynbrooke Cir, Louisville, KY 40241 | 2010-03-26 |
| 1477743938 | Suzanne Jeannette Brown | Internal Medicine | 102 Physicians Blvd, Glasgow, KY 42141-1299 | 2007-07-30 |
| 1417082470 | Jamie Bunch Jarboe | Internal Medicine | 1100 Brookhaven Rd Ste 103, Franklin, KY 42134-2746 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
Please comment or provide details below to improve the information on KENTUCKY MSO LLC.
| 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.