DR. SERGE DUBUC (NPI# 1518017615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518017615 |
Entity Type | Individual |
Full Name | DR. SERGE DUBUC |
Credential | M.D. |
Practice Address |
1001 Cherry Blossom Way Georgetown KY 40324-9564 |
Mailing Address |
3245 Ridgecane Rd Lexington KY 40513-1122 |
Practice Telephone | 5028684964 |
Mailing Telephone | 8592192409 |
Enumeration Date | 2007-01-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
36336 | KY | Ambulatory Health Care Facilities |
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 |
1376820423 | Usimc of West Virginia Medical Corporation | Clinic/Center | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2011-11-03 |
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 | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952563199 | Barnes Healthcare, Inc. | Clinic/Center | 21305 Berlin Rd Unit 2, Georgetown, DE 19947-3186 | 2008-06-30 |
1376820423 | Usimc of West Virginia Medical Corporation | Clinic/Center | 1001 Cherry Blossom Way, Georgetown, KY 40324-9564 | 2011-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235736935 | American Current Care Pa | Clinic/Center | 6460 Dutchmans Pkwy Ste 102, Louisville, KY 40205-3338 | 2020-10-06 |
1891332458 | Concentra Health Services, Inc. | Clinic/Center | 6127 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-12-03 |
1316589229 | American Current Care, P.a. | Clinic/Center | 6121 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-10-11 |
1700386919 | Community First Injury Care, Inc | Clinic/Center | 13806 Lake Point Cir Ste 101, Louisville, KY 40223-4223 | 2018-02-14 |
1518477884 | Physicians Medical Center LLC | Clinic/Center | 4149 Shelbyville Rd, Louisville, KY 40207-3203 | 2017-10-02 |
1033484282 | Occupational Health Professionals, Inc | Clinic/Center | 5796 Nashville Td, Ste A, Bowling Green, KY 42101 | 2012-03-20 |
1528345675 | Usimc of West Virginia Medical Corporation | Clinic/Center | 25 Atlantic Ave, Erlanger, KY 41018-3151 | 2011-11-03 |
1063675759 | St Elizabeth Medical Center Inc | Clinic/Center | 4123 Olympic Blvd., Suite 150, Erlanger, KY 41018 | 2008-07-03 |
1336341957 | Frankfort Hospital, Inc. | Clinic/Center | 101 Medical Heights Drive, Suite N, Frankfort, KY 40601-4137 | 2007-06-05 |
1821212002 | Methodist Health, Inc. | Clinic/Center | 4604 Us Hwy 60 West, Morganfield, KY 42437 | 2007-04-12 |
Find all providers with the same taxonomy |
City | GEORGETOWN |
Zip Code | 40324 |
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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.