JOHN T. SMALL (NPI# 1619948692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619948692 |
| Entity Type | Individual |
| Full Name | JOHN T. SMALL |
| Credential | M.D. |
| Practice Address |
3802 Ky-321 Haggerhill KY 41222 |
| Mailing Address |
Po Box 757 Campton KY 41301-0757 |
| Practice Telephone | 6062971644 |
| Mailing Telephone | (817) 797-6767 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 21474 | KY | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
21474 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BRICKSTREET | 1069188 | 01 |
| WV | 3810004017 | 05 | |
| KY | 64072978 | 05 | |
| OH | 2624324 | 05 | |
| KY | MEDICARE GROUP | 5490 | 01 |
| KY | BLUECROSS BLUESHIELD | 000000377498 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609844091 | John Lucas Small | Optometrist | 5434 Carpinteria Ave, Carpinteria, CA 93013-1423 | 2006-03-10 |
| 1972103422 | John Small | Pharmacist | 2510 Redmond Cir Nw, Rome, GA 30165-1913 | 2020-10-26 |
| 1023231453 | John M. Small | Social Worker | 2525 W Bancroft St, Toledo, OH 43607-1311 | 2007-04-11 |
| 1144227364 | John M Small | Orthopaedic Surgery | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2005-07-01 |
| Street Address |
3802 KY-321 |
| City | HAGGERHILL |
| State | KY |
| Zip Code | 41222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689091266 | Ohio Valley Physicians Inc | Clinic/Center | 8310 Ky Rte 321 S, Hager Hill, KY 41222 | 2014-03-21 |
| 1942648019 | Tammy Lynn Meade | Nurse Practitioner | 8310 S Ky Rte 321, Hager Hill, KY 41222 | 2013-06-11 |
| 1295079101 | Kelley Kyrene Miller | Occupational Therapy Assistant | 313 N. Hurstbourne Parkway, Suite 211, Louisville, KY 41222 | 2012-11-15 |
| 1124284229 | Johnson County Health Dept | Public Health or Welfare | 7210 Us 23 South, Hager Hill, KY 41222 | 2008-07-29 |
| 1730433269 | Michelle Lee Cockrell | Occupational Therapy Assistant | 313 N Hurstbourne Parkway, Suite 211, Louisville, KY 41222-6054 | 2012-11-06 |
| 1104129451 | Melinda M Music | Speech-Language Pathologist | 111 Cherry Hill Ln, Hagerhill, KY 41222-8627 | 2010-12-08 |
| 1831399757 | Eastern Ky Medical Clinics | Family Medicine | 169 Goble Br, Hagerhill, KY 41222-8639 | 2007-07-19 |
| 1346200185 | Hospice of Big Sandy, Inc. | Hospice Care, Community Based | 1520 Ky Route 1428, Hagerhill, KY 41222-8646 | 2006-03-24 |
| 1417251570 | Toni R Hardin | Specialist | 53 Hilton Holw, Hagerhill, KY 41222-8845 | 2011-01-04 |
| 1740240183 | Total Renal Care Inc | Clinic/Center | 4750 S Ky Route 321, Hagerhill, KY 41222-9012 | 2006-03-27 |
| Find all providers in zip 41222 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431543 | Stephanie Caudill | Family Medicine | 1145 W Lexington Ave Ste C, Winchester, KY 40391-1290 | 2020-09-12 |
| 1083231682 | Cherawen Group | Family Medicine | 4060 Troy Pike, Versailles, KY 40383-8924 | 2020-06-30 |
| 1295357531 | Unbound Treatment, Inc. | Family Medicine | 67 Harbor Dr, Jamestown, KY 42629-8036 | 2020-05-09 |
| 1891294336 | Nanncoh LLC | Family Medicine | 700 Envoy Cir Ste 702, Louisville, KY 40299-1812 | 2018-02-11 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1922496223 | Hope Recovery Center | Family Medicine | 9300 Shelbyville Rd Ste 506, Louisville, KY 40222-5164 | 2015-01-08 |
| 1629317391 | Burns Mack Brady | Family Medicine | 1017 W. Market St., Louisville, KY 40202 | 2013-01-31 |
| 1548533482 | Laurel County Sobriety Center Pllc | Family Medicine | 1658 East 192 Bypass, London, KY 40741 | 2012-02-22 |
| 1558328179 | Paul Wilson Craig II | Family Medicine | 6500 Highway 645, Suite 110, Inez, KY 41224 | 2006-04-27 |
| 1407856057 | Anthony Wade Alvarez | Family Medicine | 820 Dolwick Dr, Erlanger, KY 41018-2774 | 2005-07-26 |
| Find all providers with the same taxonomy | ||||
| City | HAGGERHILL |
| Zip Code | 41222 |
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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.