INTEGRA-TELEMEDICINE (NPI# 1518594282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518594282 |
| Entity Type | Organization |
| Organization Name | INTEGRA-TELEMEDICINE |
| Practice Address |
4108 Clearwater Way Lexington KY 40515-6000 |
| Practice Telephone | 8593963050 |
| Mailing Telephone | 8593963050 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | MR. CLAYTON P GATTERDAM IV (MEMBER) |
| Authorized Official Telephone | 8593963050 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4108 CLEARWATER WAY |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40515-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699620 | Cassandra Grace Reynolds | Occupational Therapy Assistant | 3900 Crosby Dr Apt 102, Lexington, KY 40515 | 2017-10-04 |
| 1447793401 | Audrey Mccall Logan | Counselor | 3479 Buckhorn Drive, Ste 106, Lexington, KY 40515 | 2016-11-23 |
| 1043760465 | Mary Lauren Elizabeth Willis | Pharmacist | 4251 Mooncoin Way, Lexington, KY 40515 | 2016-10-10 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1528480340 | Frances Ann Cook | Psychologist | 4105 Heartwood Rd, Lexington, KY 40515 | 2014-01-14 |
| 1245574532 | Patricia H Woodruff | Nurse Practitioner | 3030 Brookmonte Ln, Lexington, KY 40515 | 2012-11-27 |
| 1225381064 | Tiffany Kruger | Physical Therapist | 1092 Duval St Ste 210, Lexington, KY 40515 | 2012-10-17 |
| 1356698203 | Jessika Cordell Vance-morgan | Behavioral Analyst | 945 Darda Ct, Lexington, KY 40515 | 2012-08-09 |
| 1285915363 | Southern Office Solutions | Specialist | 5060 Ivybridge Dr., Lexington, KY 40515 | 2011-09-02 |
| 1578794426 | Emilie Carter | Social Worker | 1096 Duval St Ste 140, Lexington, KY 40515 | 2009-07-27 |
| Find all providers in zip 40515 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356970941 | Care Coordinates Inc | Internal Medicine | 136 Laconia St, Lexington, MA 02420-2252 | 2020-04-06 |
| 1104383322 | New Dawn 365 Centers Pllc | Internal Medicine | 2101 Wiltshire Pl, Lexington, KY 40515-1167 | 2019-02-24 |
| 1245728054 | Lexington Medical Group Corp | Internal Medicine | 2276 Barnwell Ln, Lexington, KY 40513-1245 | 2018-04-26 |
| 1295257921 | Oriana Fabiola Ramirez Alvarado | Internal Medicine | Uk Bluegrass Care Clinic, 740 S Limestone Ste L504, Lexington, KY 40536 | 2017-07-14 |
| 1699221291 | Kavya Sudanagunta | Internal Medicine | 800 Rose St # Hx315, Lexington, KY 40536-7001 | 2016-09-01 |
| 1003362245 | Baird Transitions Mht LLC | Internal Medicine | 317 Ruth Vista Road, Lexington, SC 29073-8628 | 2016-08-28 |
| 1003268392 | Deepali Pandey | Internal Medicine | 800 Rose St # Cc-402, Lexington, KY 40536-0293 | 2016-07-11 |
| 1952763146 | Kelsey Thompson | Internal Medicine | 740 S Limestone Third Floor Wing D Suite L305, Lexington, KY 40536-0293 | 2016-03-25 |
| 1316309859 | Priya Shankar Srivastava | Internal Medicine | Internal Medicine Pediatrics, 900 S. Limestone, Ctw 304, Lexington, KY 40536-0001 | 2016-03-23 |
| 1568854404 | Katherine Peterson Keller | Internal Medicine | 740 S. Limestone, Room J515, Lexington, KY 40536 | 2015-03-02 |
| Find all providers in LEXINGTON | ||||
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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.