JUDITH TERRY PETRELLA (NPI# 1609895572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609895572 |
| Entity Type | Individual |
| Full Name | JUDITH TERRY PETRELLA |
| Credential | MD |
| Practice Address |
613 23rd St Ashland KY 41101-2878 |
| Mailing Address |
Po Box 1595 Ashland KY 41105-1595 |
| Practice Telephone | 6063274000 |
| Practice Fax Number | 6063277425 |
| Mailing Telephone | 6063274000 |
| Mailing Fax Number | 6063274425 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TP801 | KY | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME0068286 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
613 23RD ST |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356330732 | Zane A Darnell | Internal Medicine | 613 23rd St, Ste 230, Ashland, KY 41101-2876 | 2005-10-18 |
| 1396189437 | Jeffrey Thomas Jenkins | Internal Medicine | 613 23rd St, Ashland, KY 41101-2878 | 2013-04-19 |
| 1740578301 | Stephanie Hutchison Md Psc | Obstetrics & Gynecology | 613 23rd St, Suite 130, Ashland, KY 41101-2878 | 2011-07-18 |
| 1346539541 | Kentucky Heart Institute | Radiology | 613 23rd St, Suite 140, Ashland, KY 41101-2878 | 2011-03-29 |
| 1104129238 | Diana Sue King | Nurse Practitioner | 613 23rd St, Suite 230, Ashland, KY 41101-2878 | 2010-12-12 |
| 1497083539 | Kings Daughters Medical Specialties Inc | Otolaryngology | 613 23rd St, Ste 420, Ashland, KY 41101-2878 | 2009-12-01 |
| 1235365537 | Kentucky Heart Institute Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 613 23rd St, Suite 210, Ashland, KY 41101-2878 | 2009-06-02 |
| 1053559617 | Kentucky Heart Institute | Surgery | 613 23rd St, Suite G-10, Ashland, KY 41101-2878 | 2009-02-04 |
| 1679710982 | Brittany R Stewart | Physician Assistant | 613 23rd St, Suite 340, Ashland, KY 41101-2878 | 2009-01-09 |
| 1154571172 | Mardini & Associates Md, Psc | Internal Medicine | 613 23rd St, Suite 120, Ashland, KY 41101-2878 | 2008-09-26 |
| Find all providers in the same location | ||||
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912186636 | Melissa Smith, D.o., Psc | Psychiatry & Neurology | 2222 Winchester Ave Ste C, Ashland, KY 41101-7847 | 2007-10-30 |
| 1033284005 | River Cities Neurology, P.s.c | Psychiatry & Neurology | 700 St Christopher Dr, Med Bldg 3 Ste 102, Ashland, KY 41101 | 2006-11-22 |
| 1083648307 | Tanya Catherine Warwick | Psychiatry & Neurology | 617 23rd St Ste 6, Ashland, KY 41101-2845 | 2006-07-10 |
| 1346242153 | Henry C Goodman | Psychiatry & Neurology | 2301 Lexington Ave, Suite 300, Ashland, KY 41101-2873 | 2005-08-11 |
| 1184051583 | Ambulatory Neurological Services, LLC | Psychiatry & Neurology | 1212 Bath Ave, Ste 535, Ashland, KY 41101-2680 | 2013-09-30 |
| 1992037527 | Megan Suzanne Rudinsky | Psychiatry & Neurology | 617 23rd St Ste 400, Ashland, KY 41101 | 2010-02-08 |
| 1386873073 | Omar Elghawanmeh | Psychiatry & Neurology | 617 23rd St Ste 6, Ashland, KY 41101-2845 | 2009-07-02 |
| 1144476086 | Amanda L Hamilton Md Psc | Psychiatry & Neurology | 2222 Winchester Ave, Suite C, Ashland, KY 41101-7847 | 2008-08-12 |
| 1801076922 | Joseph Bajorek, M.d. Psc | Psychiatry & Neurology | 2222 Winchester Ave Ste C, Ashland, KY 41101-7847 | 2007-11-06 |
| 1083719512 | Wilma Castro, Md, Psc | Psychiatry & Neurology | 617 23rd St, Suite 12, Ashland, KY 41101-2845 | 2006-09-13 |
| 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.