JAMES M FELLOWS (NPI# 1497762892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497762892 |
| Entity Type | Individual |
| Full Name | JAMES M FELLOWS |
| Credential | MD |
| Practice Address |
110 Third St Henderson KY 42420-2993 |
| Mailing Address |
Po Box 1062 Henderson KY 42419-1062 |
| Practice Telephone | 2708272915 |
| Practice Fax Number | 2706430082 |
| Mailing Telephone | 2708272915 |
| Mailing Fax Number | 2708272995 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | KY24878 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64757602 | 05 |
| Street Address |
110 THIRD ST |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033468632 | Lacey N Roberts | Nurse Practitioner | 110 Third St, Suite 250, Henderson, KY 42420 | 2012-08-29 |
| 1407152044 | Carol Ann Newberry | Nurse Practitioner | 110 Third St, Henderson, KY 42420-2993 | 2011-01-30 |
| 1629143342 | Jason Samuel Chartered | Internal Medicine | 110 Third St, Suite 310, Henderson, KY 42420 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336403260 | Casey Owen Mccraw | Urology | 8915 S Pecos Rd Ste 19a, Henderson, NV 89074 | 2012-06-26 |
| 1427260074 | John Rogers Clague | Urology | 610 N High St, Henderson, TX 75652-5914 | 2007-05-04 |
| 1518058577 | Adrian Mahendra Ogle | Urology | 120 Charles Rollins Rd Ste 105, Henderson, NC 27536-2882 | 2006-09-27 |
| 1306824149 | R. David Larsen | Urology | 9053 S Pecos Rd, Suite 2900, Henderson, NV 89074-7177 | 2006-01-03 |
| 1609854462 | Eliot M. Horowitz | Urology | 9053 S. Pecos Rd., Suite 2900, Henderson, NV 89074-7178 | 2006-01-03 |
| 1366969966 | Dlp Maria Parham Physician Practices LLC | Urology | 120 Charles Rollins Rd Ste 105, Henderson, NC 27536-2882 | 2017-08-24 |
| 1255854105 | Dlp Maria Parham Physician Practices LLC | Urology | 120 Charles Rollins Rd Ste 105, Henderson, NC 27536-2882 | 2017-07-24 |
| 1326360686 | Ageless Men's Health Nv, LLC | Urology | 2821 W Horizon Ridge Pkwy, 111, Henderson, NV 89052-4427 | 2010-02-26 |
| 1124278650 | 21st Century Specialty Physicians Michael J Katin Md PC | Urology | 52 N Pecos Rd, Henderson, NV 89074-7319 | 2008-09-20 |
| 1124239553 | L Vijaya. Md, Pa | Urology | 568 Ruin Creek Rd, Ste. 121, Henderson, NC 27536-2880 | 2007-05-25 |
| Find all providers in HENDERSON | ||||
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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.