MIGHTY OAK EMERGENCY PHYSICIANS, LLC (NPI# 1508239336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508239336 |
| Entity Type | Organization |
| Organization Name | MIGHTY OAK EMERGENCY PHYSICIANS, LLC |
| Practice Address |
1801 Ashley Cir Bowling Green KY 42104-3362 |
| Mailing Address |
Po Box 80080 Philadelphia PA 19101-0080 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-16 |
| Authorized Official Name | GREGORY J. BYRNE, M.D. (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1801 ASHLEY CIR |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477542942 | Kevin Lyn Burner | Radiology | 1801 Ashley Cir, Bowling Green, KY 42104 | 2005-10-18 |
| 1487265195 | Holly R Thomerson | Nurse Practitioner | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2020-08-14 |
| 1598387938 | Allison Lee Pedigo | Registered Nurse | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2020-05-07 |
| 1396384079 | Betsy Mccoy | Nurse Anesthetist, Certified Registered | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-12-30 |
| 1568936706 | Katie Fletcher Lowe | Nurse Anesthetist, Certified Registered | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-01-21 |
| 1982177457 | Rachael Katherine Grant | Physician Assistant | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-01-08 |
| 1780182477 | Whitney E Huffingham | Registered Nurse | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2018-01-27 |
| 1578917142 | Steve Duleh | Emergency Medicine | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2016-04-19 |
| 1043682909 | Guardian Emergency Physicians, LLC | Physician Assistant | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2015-10-30 |
| 1275910648 | Wendi Lee King | Nurse Practitioner | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2015-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417190703 | Phillip M Keeley | Emergency Medicine | 130 Triple Crown Ct, Bowling Green, KY 42104-8567 | 2009-04-15 |
| 1730116625 | Kevin M Kelly | Emergency Medicine | 310 Greenview Way, Bowling Green, KY 42103-8767 | 2006-06-27 |
| 1558333286 | Michael J Collins | Emergency Medicine | 1340 Ellis Pl, Bowling Green, KY 42104-0602 | 2006-02-06 |
| 1003888215 | Luana Jane Hess | Emergency Medicine | 950 Wooster St, Bowling Green, OH 43402-2603 | 2006-02-02 |
| 1326589607 | Ross Mcdermott | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2699 | 2017-03-20 |
| 1467817304 | Advanced Care Emergency Medicine Group, LLC | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2015-12-18 |
| 1235545773 | Andrew Wheeler | Emergency Medicine | 250 Park St, Bowling Green, KY 42101-1760 | 2014-07-04 |
| 1154740827 | Kristen Craig | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2014-04-10 |
| 1861836322 | Drakes Creek Emergency Physicians LLC | Emergency Medicine | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2013-04-26 |
| 1073863130 | Wood County Emergency Physicians Inc | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2012-09-17 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.