USIMC OF WEST VIRGINIA MEDICAL CORPORATION


Address: 25 Atlantic Ave, Erlanger, KY 41018-3151
Phone: 8597466630

USIMC OF WEST VIRGINIA MEDICAL CORPORATION (NPI# 1528345675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528345675
Entity Type Organization
Organization Name USIMC OF WEST VIRGINIA MEDICAL CORPORATION
Other Organization Name TOYOTA FAMILY HEALTH CENTER ERLINGER
Practice Address 25 Atlantic Ave
Erlanger
KY 41018-3151
Mailing Address 5500 Maryland Way
Brentwood
TN 37027-4948
Practice Telephone 8597466630
Mailing Telephone 8778659013
Mailing Fax Number 2177092345
Enumeration Date 2011-11-03
Last Update Date 2015-05-06
Authorized Official Name MARIANNE LINDROTH (OWNER)
Authorized Official Telephone 6154686548
Authorized Official Credential M D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QX0100X Clinic/Center
Specialization: Occupational Medicine
Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Toyota Family Health Center Erlinger Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033694732 Usimc of West Virginia Medical Corporation Clinic/Center 2203 5th Street Rd, Huntington, WV 25701-9311 2018-09-27
1609369024 Usimc of West Virginia Medical Corporation Clinic/Center 4600 Houston Rd, Florence, KY 41042-4820 2018-06-11
1104317734 Usimc of West Virginia Medical Corporation Clinic/Center 908 W Broadway Fl 8, Louisville, KY 40203 2018-05-18
1417307877 Usimc of West Virginia Medical Corporation Clinic/Center 200 Mero St, Room 140, Frankfort, KY 40601-1920 2016-06-16
1316397797 Usimc of West Virginia Medical Corporation Clinic/Center 702 Capital Ave, Room 040, Frankfort, KY 40601-3448 2016-06-16
1417307893 Usimc of West Virginia Medical Corporation Clinic/Center 500 Mero Mezzanine, Frankfort, KY 40622-0001 2016-06-16
1346610094 Usimc of West Virginia Medical Corporation Clinic/Center 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 2015-10-06
1144633892 Usimc of West Virginia Medical Corporation Clinic/Center 381 Southwood Court, Bowling Green, KY 42101-7513 2014-06-10
1962834218 Usimc of West Virginia Medical Corporation Clinic/Center 100 Magellan Way, Mail Zone Kwgd, Covington, KY 41015-1987 2013-08-08
1306178165 Usimc of West Virginia Medical Corporation Clinic/Center 3707 Buffalo Rd, Buffalo, WV 25033-9436 2010-02-04

Office Location

Street Address 25 ATLANTIC AVE
City ERLANGER
State KY
Zip Code 41018-3151

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124449897 Wal-mart Stores East Lp Pharmacy 25 Atlantic Ave, Erlanger, KY 41018-3151 2013-12-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033619986 Michael Gale Reeser II Psychologist 34 Erlanger Rd., Erlanger, KY 41018 2018-02-16
1255848065 Orthocincy Family Medicine 700 Dolwick Dr, Erlanger, KY 41018 2018-01-02
1518413889 Kenton Housing, Inc. Skilled Nursing Facility 3802 Turkeyfoot Road, Elsmere, KY 41018 2016-08-28
1124459565 The Therapy Source, Inc. Occupational Therapist 600 Rodeo Drive, Erlanger, KY 41018 2013-12-11
1700135282 Gretchen Nicole Hartzler Physical Therapist 1265 Viola Ln, Erlanger, KY 41018 2012-08-30
1851670459 Elizabeth Ellen Kerl Occupational Therapy Assistant 501 Ripple Creek Dr, Elsmere, KY 41018 2011-08-12
1043455132 Maureen Ann Bensman Counselor 510 Graves Ave Ste 206, Erlanger, KY 41018 2008-12-03
1851548952 Marjorie R Reeves Registered Nurse 820 Dolwick Drive, Erlanger, KY 41018 2008-08-20
1063675759 St Elizabeth Medical Center Inc Clinic/Center 4123 Olympic Blvd., Suite 150, Erlanger, KY 41018 2008-07-03
1821278789 Catherine Kiely Nurse Practitioner 3104 Dixie Highway, Erlanger, KY 41018 2007-11-08
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1992312847 Crossover Health Medical Group Clinic/Center 544 Conestoga Pkwy Ste 3, Shepherdsville, KY 40165-5676 2020-09-24
1861028268 Uofl Health-louisville Inc Clinic/Center 1903 W. Hebron Ln, Shepherdsville, KY 40165-7425 2020-03-17
1962036210 Emerge Rehab & Wellness,llc Clinic/Center 3501 Fenwick Park Pl Apt F, Louisville, KY 40220-5844 2020-02-25
1952940215 Kentucky Center for Regenerative Medicine, LLC Clinic/Center 4010 Dupont Cir Ste 203, Louisville, KY 40207-4847 2020-01-03
1669010112 Chs Tennessee Medical P C Clinic/Center 1070 Smith Grove Rd, Scottsville, KY 42164-9444 2019-12-16
1336790302 Advamed Health LLC Clinic/Center 301 Wendell Way, London, KY 40741-2064 2019-09-21
1538653639 Eastern Kentucky Recovery, LLC Clinic/Center 5860 Main St Ste B, Clay City, KY 40312-1319 2018-06-21
1609369024 Usimc of West Virginia Medical Corporation Clinic/Center 4600 Houston Rd, Florence, KY 41042-4820 2018-06-11
1982117271 Triad Health Systems, Inc. Clinic/Center 2340 Highway 22 E, Owenton, KY 40359-9176 2017-11-09
1700313293 Complete Laser Clinic of Louisville, LLC Clinic/Center 3000 Fern Valley Rd, Louisville, KY 40213-3522 2017-05-16
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Competitor

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City ERLANGER
Zip Code 41018

Improve Information

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Dataset Information

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.

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