KOLESNIKOV PEDIATRICS PLLC (NPI# 1467968834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467968834 |
| Entity Type | Organization |
| Organization Name | KOLESNIKOV PEDIATRICS PLLC |
| Practice Address |
120 Ponderosa Dr Jenkins KY 41537 |
| Mailing Address |
Po Box 60623 Staten Island NY 10306-0623 |
| Practice Telephone | 9805659500 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Authorized Official Name | ANDREY KOLESNIKOV (OWNER) |
| Authorized Official Telephone | 9805659500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 287701 | NY | Ambulatory Health Care Facilities |
| Street Address |
120 PONDEROSA DR |
| City | JENKINS |
| State | KY |
| Zip Code | 41537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912299199 | Melissa Ann Fleming | Speech-Language Pathologist | 180 Payne Gap Dr, Jenkins, KY 41537 | 2011-05-06 |
| 1538450093 | John Sherman Holyfield IIi | Pharmacist | 31 Brick St., Jenkins, KY 41537 | 2011-05-02 |
| 1033400429 | Kassi Jessee | Pharmacist | 9485 Hwy 805, Jenkins, KY 41537 | 2011-04-20 |
| 1528377231 | Donna Branham | Technician, Other | 1094 Childs Branch Rd, Jenkins, KY 41537 | 2010-09-29 |
| 1821233750 | William M Collins | Family Medicine | 157 Dorton-jenkins Hwy, Jenkins, KY 41537 | 2008-12-05 |
| 1275711871 | Kentucky River District Health Department | Public Health or Welfare | 269 Hwy 3086, Jenkins, KY 41537 | 2008-02-06 |
| 1811181266 | Kentucky River District Health Department | Public Health or Welfare | 571 Dairy Hollow Road, Jenkins, KY 41537 | 2007-08-29 |
| 1346452877 | Mandy Charlene Stamper | Contractor | 7112 Hwy 119 North, Jenkins, KY 41537 | 2007-05-04 |
| 1346361193 | Letcher County Golden Years Rest Home | Nursing Facility/Intermediate Care Facility | 53 Wheaton Hollow Road, Jenkins, KY 41537 | 2007-04-02 |
| 1790863710 | Boggs Pharmacy,inc. | Durable Medical Equipment & Medical Supplies | 9500 Highway 805, Jenkins, KY 41537 | 2006-11-01 |
| Find all providers in zip 41537 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972782175 | Wellmont Health System | Clinic/Center | 9480 Highway 805, Jenkins, KY 41537-8182 | 2007-10-24 |
| 1346385630 | Jenkins Healthcare Company Bda Jenkins Community Hospital | Clinic/Center | 9480 Highway 805, Jenkins, KY 41537 | 2007-02-21 |
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|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1083192595 | Carson Black Lung Center of Pineville, Inc. | Clinic/Center | 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452 | 2018-08-06 |
| 1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1245747674 | Phaup Chiropractic Center, LLC | Clinic/Center | 95 Ymca Dr Ste A, Madisonville, KY 42431-9035 | 2018-01-08 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1740717818 | Jones-o'neal Enterprises, Pllc | Clinic/Center | 135 Morgan St, Versailles, KY 40383-1428 | 2017-05-18 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| 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.