BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC (NPI# 1609041086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609041086 |
| Entity Type | Organization |
| Organization Name | BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC |
| Practice Address |
500 14th St Ashland KY 41101-2622 |
| Practice Telephone | 6063243668 |
| Mailing Telephone | 6063243668 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | DR. BRIAN KEITH BAILEY (OWNER) |
| Authorized Official Telephone | 6063243668 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00305 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 9001061200 | 05 | |
| WV | 3810002375 | 05 | |
| OH | 2549086 | 05 | |
| KY | 80000540 | 05 |
| Street Address |
500 14TH ST |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436141 | Brian Keith Bailey | Podiatrist | 500 14th St, Ashland, KY 41101-2622 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407145568 | Justin T Johnson Dpm Inc. | Podiatrist | 1661 Hwy 99 N Ste 201, Ashland, OR 97520-8900 | 2011-03-29 |
| 1255439725 | Lynn William Rawcliffe | Podiatrist | 1661 Hwy 99 N, Suite 201, Ashland, OR 97520-8900 | 2006-09-20 |
| 1265436141 | Brian Keith Bailey | Podiatrist | 500 14th St, Ashland, KY 41101-2622 | 2005-06-09 |
| 1255709440 | Ashland/mansfield Foot & Ankle Specialists | Podiatrist | 45 Amberwood Pkwy, Ashland, OH 44805-9765 | 2015-09-04 |
| 1891009767 | Bellefonte Physician Services, Inc. | Podiatrist | 1000 Ashland Dr, Ste. 104, Ashland, KY 41101-7084 | 2010-08-03 |
| 1356665103 | Oregon Foot & Ankle Surgical Specialist, LLC | Podiatrist | 1661 Hwy 99 N, Suite 201, Ashland, OR 97520-8900 | 2010-03-23 |
| 1174784417 | Jerod Darnell Dpm Pllc | Podiatrist | 1290 Montgomery Ave Ste B, Ashland, KY 41101-2776 | 2008-06-19 |
| 1083874788 | Jerod Preston Darnell | Podiatrist | 1290 Montgomery Ave Ste B, Ashland, KY 41101-2776 | 2008-06-16 |
| 1861660862 | Advent Foot and Ankle Inc | Podiatrist | 93 Broad St, Ashland, PA 17921-2101 | 2008-02-13 |
| 1336328624 | Justin Theo Johnson | Podiatrist | 1661 Highway 99 N, Ste 201, Ashland, OR 97520-8900 | 2007-11-02 |
| Find all providers in ASHLAND | ||||
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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.