DR. PAUL KARL KRESTIK (NPI# 1588791719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588791719 |
| Entity Type | Individual |
| Full Name | DR. PAUL KARL KRESTIK |
| Credential | DPM |
| Practice Address |
1105 W 5th St #3 London KY 40741-1610 |
| Practice Telephone | 6068629900 |
| Practice Fax Number | 6068628901 |
| Mailing Telephone | 6068629900 |
| Mailing Fax Number | 6068628901 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 264 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 80000128 | 05 |
| Street Address |
1105 W 5TH ST #3 |
| City | LONDON |
| State | KY |
| Zip Code | 40741-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180571 | Bluegrass Regional Foot and Ankle Associates P S C | Durable Medical Equipment & Medical Supplies | 1105 W 5th St, #3, London, KY 40741-1610 | 2005-08-02 |
| 1720323249 | Heather E Jones | Podiatrist | 1105 W 5th St, Suite #3, London, KY 40741-1610 | 2012-12-10 |
| 1699920736 | Bluegrass Regional Foot & Ankle Associates | Nurse Practitioner | 1105 W 5th St, #3, London, KY 40741-1610 | 2008-11-17 |
| 1780837062 | Bluegrass Regional Foot & Ankle Associates | Nurse Practitioner | 1105 W 5th St, #3, London, KY 40741-1610 | 2008-10-30 |
| 1689701898 | Daniel C Albertson | Nurse Practitioner | 1105 W 5th St, #3, London, KY 40741-1610 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932129343 | Richard E Skrip Jr. | Podiatrist | 1675 S Main St, London, KY 40741-2050 | 2006-07-20 |
| 1730322181 | Cumberland Orthopaedic & Sports Medicine-podiatry | Podiatrist | 160 London Mountain View Dr, London, KY 40741-6601 | 2009-04-15 |
| 1710136817 | Richard Skrip Dpm Inc | Podiatrist | 1675 S Main St, London, KY 40741-2050 | 2008-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079543 | King's Daughters Medical Specialties, Inc. | Podiatrist | 1000 Ashland Dr Ste 104, Ashland, KY 41101-7092 | 2020-03-26 |
| 1578112983 | Peter Cunningham | Podiatrist | 1 Audubon Plaza Dr Ofc L2, Louisville, KY 40217-1318 | 2019-09-09 |
| 1447787676 | Jenna Vaught LLC | Podiatrist | 3407 Kerry Dr, Louisville, KY 40218-2131 | 2017-05-18 |
| 1528429289 | Carrie A. Tull, Dpm LLC | Podiatrist | 272 Redwing Dr, Winchester, KY 40391-2928 | 2016-03-09 |
| 1083907471 | Larry K Ketcherside | Podiatrist | 9110 Leesgate Rd, Louisville, KY 40222-5053 | 2011-05-18 |
| 1013210251 | Dr. Robert F Hailey, Dpm Psc | Podiatrist | 333 S 6th St, Mayfield, KY 42066-2309 | 2010-12-09 |
| 1558516054 | Jessica S Jackson Dpm Pllc | Podiatrist | 15014 Bircham Rd, Louisville, KY 40245-4104 | 2008-11-25 |
| 1568625903 | Janine A. Valentino | Podiatrist | 9880 Angies Way Suite 110, Louisville, KY 40241-2943 | 2008-07-07 |
| 1518134386 | Jennifer Benge Emery | Podiatrist | 427 Us 31w Byp Ste 202, Bowling Green, KY 42101-1703 | 2008-05-12 |
| 1760676092 | Advanced Foot Care of Northern Ky | Podiatrist | 1880 Ashwood Cir, Ft Wright, KY 41011-2602 | 2007-08-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PAUL KARL KRESTIK.
| 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.