TONYA COBURN (NPI# 1639170590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639170590 |
| Entity Type | Individual |
| Full Name | TONYA COBURN |
| Credential | P.A.-C |
| Practice Address |
360 Amsden Ave Suite 504 Versailles KY 40383-1851 |
| Practice Telephone | 8598790111 |
| Practice Fax Number | 8598790363 |
| Mailing Telephone | 8598790111 |
| Mailing Fax Number | 8598790363 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2008-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA452 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 95004529 | 05 |
| Street Address |
360 AMSDEN AVE SUITE 504 |
| City | VERSAILLES |
| State | KY |
| Zip Code | 40383-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801252309 | Deschner Medical Services LLC Deboss Neurology & Pain Clinic | Specialist | 360 Amsden Ave, Versailles, KY 40383-1851 | 2016-01-13 |
| 1568834786 | Deschner Medical Services LLC Deboss Neurology & Pain Clinic | Clinic/Center | 360 Amsden Ave, Specialty Suite, Versailles, KY 40383-1851 | 2015-10-27 |
| 1497157473 | Janet Patterson | Nurse Practitioner | 360 Amsden Ave, Versailles, KY 40383-1851 | 2014-09-22 |
| 1487061982 | Cumberland Family Medical Center Inc | Clinic/Center | 360 Amsden Ave, Suite 401, Versailles, KY 40383-1851 | 2014-07-16 |
| 1710232400 | Kentucky Mso LLC | Family Medicine | 360 Amsden Ave, Suite 302, Versailles, KY 40383-1851 | 2012-07-18 |
| 1841570363 | Kentucky Mso LLC | Surgery | 360 Amsden Ave, Suite 302, Versailles, KY 40383-1851 | 2011-08-29 |
| 1447565544 | Daniell B. Hill, M.d., Psc | Internal Medicine | 360 Amsden Ave, Versailles, KY 40383-1851 | 2010-08-12 |
| 1427289867 | Jaclynn Anderson Williams | Dietitian, Registered | 360 Amsden Ave, Versailles, KY 40383-1851 | 2009-08-03 |
| 1528214814 | Woodford Hospital, LLC | Dietitian, Registered | 360 Amsden Ave, Versailles, KY 40383-1851 | 2008-08-18 |
| 1255595252 | Carrie Frances Kopp | Dietitian, Registered | 360 Amsden Ave, Versailles, KY 40383-1851 | 2008-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184037798 | The Nile Ministries Inc | Substance Abuse Rehabilitation Facility | 4185 Lexington Road, Versailles, KY 40383 | 2014-06-11 |
| 1710259932 | Jessica Marie Rucker | Massage Therapist | 260 Crossfield Dr., Unit 2, Versailles, KY 40383 | 2012-02-03 |
| 1154657724 | Steps Ahead, Inc. | Case Manager/Care Coordinator | 500 Limestone Trce, Versailles, KY 40383 | 2009-11-02 |
| 1831393297 | Mary J Watts | Dentist | 230 Frankfort St, Ste 5, Versailles, KY 40383 | 2007-06-12 |
| 1447372263 | Harry M Watts | Dentist | 210 Crossfield Dr, Versailles, KY 40383 | 2007-04-04 |
| 1699824714 | Paula L Everhart | Social Worker | 163 Spring Run St, Versailles, KY 40383 | 2007-01-09 |
| 1457419665 | Henry M West | Family Medicine | 290 Lexington St, Versailles, KY 40383 | 2006-12-04 |
| 1588774202 | Eric L Quillen | Dentist | 156 Frankfort Street, Versailles, KY 40383 | 2006-08-30 |
| 1386677599 | Woodford Physical Therapy, Psc | Physical Therapist | 115 C Crossfield Dr., Versailles, KY 40383 | 2006-07-09 |
| 1003845751 | Woodford County | Ambulance | 86 Big Sink Rd, Versailles, KY 40383 | 2006-07-02 |
| Find all providers in zip 40383 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225516644 | Jared Matthew Harper | Physician Assistant | 460 Wilson Ave, Versailles, KY 40383-1947 | 2018-07-30 |
| 1952596553 | Elizabeth Geddes Watts | Physician Assistant | 460 Wilson Ave, First Floor, Versailles, KY 40383-1947 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364335 | Ryan Williamson | Physician Assistant | 1149 Delaney Ferry Rd, Nicholasville, KY 40356-8727 | 2020-07-27 |
| 1811518541 | Autumn Rose Ballard | Physician Assistant | 141 Mallard Dr, Frankfort, KY 40601-8647 | 2020-05-05 |
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1437704921 | Daniel Lee Mullins | Physician Assistant | 122 Travis Way, Georgetown, KY 40324-0500 | 2019-08-02 |
| 1871150649 | East Ky Health Service Center | Physician Assistant | 566 Highway 899 # 849, Hindman, KY 41822-8955 | 2019-05-28 |
| 1629533310 | Michelle Ladanyi | Physician Assistant | 1140 Lexington Rd Ste 102, Georgetown, KY 40324-9330 | 2019-02-06 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1255788725 | Affinity Health Care Psc | Physician Assistant | 22055 Main St, Hyden, KY 41749-8568 | 2016-05-15 |
| Find all providers with the same taxonomy | ||||
| City | VERSAILLES |
| Zip Code | 40383 |
Please comment or provide details below to improve the information on TONYA COBURN.
| 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.