MICHAEL A SARIDAKIS (NPI# 1407850134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407850134 |
Entity Type | Individual |
Full Name | MICHAEL A SARIDAKIS |
Credential | MD |
Practice Address |
310 N L Rogers Wells Blvd Suite 103 Glasgow KY 42141-1300 |
Mailing Address |
310 N L Rogers Wells Blvd Glasgow KY 42141-1300 |
Practice Telephone | 7026595945 |
Practice Fax Number | 2706595855 |
Mailing Telephone | 2706595945 |
Mailing Fax Number | 2706595855 |
Enumeration Date | 2005-06-10 |
Last Update Date | 2020-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | TP418 | KY | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 29430 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | CIGNA | 4276208 | 01 |
TN | TLC | 29166 | 01 |
TN | 3814598 | 05 | |
TN | BETTER HEALTH PLANS | 148196 | 01 |
TN | UNISON | 148196 | 01 |
TN | BCBS | 4076350 | 01 |
TN | AETNA | 5174505 | 01 |
KY | 7100356140 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821495359 | Michael Saridakis | Case Manager/Care Coordinator | 7101 Bobby St, Orangevale, CA 95662-2629 | 2014-11-26 |
1164462875 | Michael E Saridakis | Family Medicine | 885 W Aurora Rd, Suite 1, Sagamore Hills, OH 44067-1600 | 2006-06-08 |
Street Address |
310 N L ROGERS WELLS BLVD SUITE 103 |
City | GLASGOW |
State | KY |
Zip Code | 42141-1300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851938807 | Lauren M Legrand | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-12-09 |
1366001885 | Ryan B Kerrins | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-06-08 |
1851864797 | Heather C Bull | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2019-01-03 |
1174043582 | Jessica Lauren Miller | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-06-27 |
1750819967 | Marissa Howard | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-06-01 |
1447783634 | Barbara G Kelly | Family Medicine | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-04-05 |
1245761030 | Laura Elizabeth Brooks | Pediatrics | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2017-03-23 |
1528511979 | Sydni Paige Burton | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2016-08-02 |
1568821304 | Megan L Buntin | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2016-02-22 |
1154792463 | Gina Dowd | Nurse Practitioner | 310 N L Rogers Wells Blvd, Glasgow, Glasgow, KY 42141-1300 | 2015-10-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
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Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831585199 | Joseph Robert Lewis | Surgery | 2596 Roseville Rd, Glasgow, KY 42141-8460 | 2015-04-13 |
1851451702 | Bharat M Mody | Surgery | 201 Professional Park, Glasgow, KY 42141 | 2006-12-11 |
1689637993 | Gilman P. Peterson Jr. | Surgery | 109 Bravo Blvd, Glasgow, KY 42141-3412 | 2006-04-08 |
1114322898 | Anthony M Colacino | Surgery | 221 5th Ave S, Glasgow, MT 59230-2600 | 2014-10-24 |
1073719639 | Nicole Danielle Lorenz | Surgery | 221 5th Ave S, Glasgow, MT 59230-2600 | 2007-06-21 |
1184765620 | William Patrick Klapheke | Surgery | 310 N L Rogers Wells Blvd, Glasgow, KY 42141 | 2007-02-09 |
1104937499 | Anne M Williams | Surgery | 221 5th Ave S, Glasgow, MT 59230-2600 | 2006-08-31 |
1225060031 | Robert F. Crochelt | Surgery | 221 5th Ave S, Glasgow, MT 59230-2600 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841811866 | Wayne County Surgical Services | Surgery | 1 S Creek Dr Ste 112, Monticello, KY 42633-9472 | 2020-04-30 |
1548757859 | Lexington Vein Institute Pllc | Surgery | 3116 Harrodsburg Rd, Lexington, KY 40503-2709 | 2018-04-23 |
1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
1639535677 | David Geller, Md, Pllc | Surgery | 3999 Dutchmans Ln Ste 1e, Louisville, KY 40207-4741 | 2016-01-06 |
1134501679 | Gustavo Vincent Huerta | Surgery | 1760 Nicholasville Rd Ste 202, Lexington, KY 40503-1472 | 2015-06-21 |
1407237563 | Ashleigh Wright | Surgery | 800 Rose St # C-246, Lexington, KY 40536-0293 | 2015-06-15 |
1427439561 | Jahan David Miremami | Surgery | 1 Trillium Way Ste 301, Corbin, KY 40701-8426 | 2015-06-15 |
1558761734 | Ashland Integrated Medicine Psc | Surgery | 155 W. Central Avenue, Ashland, KY 41101-7364 | 2014-08-26 |
1811300817 | Colin Talanda Fath | Surgery | University of Kentucky General Surgery 800 Rose St, Lexington, KY 40536-1009 | 2014-06-06 |
1609288752 | Amber N Koon | Surgery | 1413 N Elm St Ste 204, Henderson, KY 42420-2773 | 2014-05-23 |
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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.