USIMC OF WEST VIRGINIA MEDICAL CORPORATION (NPI# 1376820423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376820423 |
| Entity Type | Organization |
| Organization Name | USIMC OF WEST VIRGINIA MEDICAL CORPORATION |
| Other Organization Name | TOYOTA FAMILY HEALTH CENTER @ GEORGETOWN |
| Practice Address |
1001 Cherry Blossom Way Georgetown KY 40324-9564 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 5028684961 |
| Practice Fax Number | 5028684961 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | DR. JAMES M THIEL (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Toyota Family Health Center @ Georgetown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033694732 | Usimc of West Virginia Medical Corporation | Clinic/Center | 2203 5th Street Rd, Huntington, WV 25701-9311 | 2018-09-27 |
| 1609369024 | Usimc of West Virginia Medical Corporation | Clinic/Center | 4600 Houston Rd, Florence, KY 41042-4820 | 2018-06-11 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1417307877 | Usimc of West Virginia Medical Corporation | Clinic/Center | 200 Mero St, Room 140, Frankfort, KY 40601-1920 | 2016-06-16 |
| 1316397797 | Usimc of West Virginia Medical Corporation | Clinic/Center | 702 Capital Ave, Room 040, Frankfort, KY 40601-3448 | 2016-06-16 |
| 1417307893 | Usimc of West Virginia Medical Corporation | Clinic/Center | 500 Mero Mezzanine, Frankfort, KY 40622-0001 | 2016-06-16 |
| 1346610094 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 | 2015-10-06 |
| 1144633892 | Usimc of West Virginia Medical Corporation | Clinic/Center | 381 Southwood Court, Bowling Green, KY 42101-7513 | 2014-06-10 |
| 1962834218 | Usimc of West Virginia Medical Corporation | Clinic/Center | 100 Magellan Way, Mail Zone Kwgd, Covington, KY 41015-1987 | 2013-08-08 |
| 1528345675 | Usimc of West Virginia Medical Corporation | Clinic/Center | 25 Atlantic Ave, Erlanger, KY 41018-3151 | 2011-11-03 |
| Street Address |
1001 CHERRY BLOSSOM WAY |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-9564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386658946 | Cheryl Jean Maxwell | Specialist/Technologist | 1001 Cherry Blossom Way, Georgetown, KY 40324-5700 | 2006-07-28 |
| 1295336535 | Lisa Ellen Lewis | Pharmacy | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2020-11-03 |
| 1538769989 | Dionne A Wims | Pharmacist | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2020-10-27 |
| 1134654379 | Jared Estridge | Specialist/Technologist | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2017-04-25 |
| 1023569050 | Zachary Ferris | Specialist/Technologist | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2016-10-14 |
| 1457809113 | Antonio Allman | Specialist/Technologist | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2016-09-12 |
| 1437506771 | Marcie Crawford | Specialist/Technologist | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2016-05-17 |
| 1700276045 | Jessica Morrow | Specialist/Technologist | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2015-01-26 |
| 1750717344 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1001 Cherry Blossom Way, Gate 7, Georgetown, KY 40324-9564 | 2013-09-16 |
| 1023392727 | Robert Lee Walters Jr. | Pharmacist | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2011-09-30 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312847 | Crossover Health Medical Group | Clinic/Center | 544 Conestoga Pkwy Ste 3, Shepherdsville, KY 40165-5676 | 2020-09-24 |
| 1861028268 | Uofl Health-louisville Inc | Clinic/Center | 1903 W. Hebron Ln, Shepherdsville, KY 40165-7425 | 2020-03-17 |
| 1962036210 | Emerge Rehab & Wellness,llc | Clinic/Center | 3501 Fenwick Park Pl Apt F, Louisville, KY 40220-5844 | 2020-02-25 |
| 1952940215 | Kentucky Center for Regenerative Medicine, LLC | Clinic/Center | 4010 Dupont Cir Ste 203, Louisville, KY 40207-4847 | 2020-01-03 |
| 1669010112 | Chs Tennessee Medical P C | Clinic/Center | 1070 Smith Grove Rd, Scottsville, KY 42164-9444 | 2019-12-16 |
| 1336790302 | Advamed Health LLC | Clinic/Center | 301 Wendell Way, London, KY 40741-2064 | 2019-09-21 |
| 1538653639 | Eastern Kentucky Recovery, LLC | Clinic/Center | 5860 Main St Ste B, Clay City, KY 40312-1319 | 2018-06-21 |
| 1609369024 | Usimc of West Virginia Medical Corporation | Clinic/Center | 4600 Houston Rd, Florence, KY 41042-4820 | 2018-06-11 |
| 1982117271 | Triad Health Systems, Inc. | Clinic/Center | 2340 Highway 22 E, Owenton, KY 40359-9176 | 2017-11-09 |
| 1700313293 | Complete Laser Clinic of Louisville, LLC | Clinic/Center | 3000 Fern Valley Rd, Louisville, KY 40213-3522 | 2017-05-16 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
Please comment or provide details below to improve the information on USIMC OF WEST VIRGINIA MEDICAL CORPORATION.
| 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.