C & M MEDICAL LLC (NPI# 1669827119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669827119 |
| Entity Type | Organization |
| Organization Name | C & M MEDICAL LLC |
| Other Organization Name | ELITE HEALTHCARE |
| Practice Address |
1102 S Main St London KY 40741-1529 |
| Mailing Address |
Po Box 2318 London KY 40743-2318 |
| Practice Telephone | 6062600286 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | COURTNEY MONACO (OWNER) |
| Authorized Official Telephone | 6062600286 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| ELITE HEALTHCARE | Doing Business As Name - Organization |
| Street Address |
1102 S MAIN ST |
| City | LONDON |
| State | KY |
| Zip Code | 40741-1529 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615713 | Vicky S Blanton | Nurse Practitioner | 6990 Johnson Rd, London, KY 40741-9514 | 2020-10-06 |
| 1255966172 | Stephen George Sigrimis | Nurse Practitioner | 74 Emerald Dr, London, KY 40744-8944 | 2020-03-11 |
| 1154952844 | Makayla Jean Green | Nurse Practitioner | 1649 Highway 192 W, London, KY 40741-1674 | 2020-01-31 |
| 1902446941 | Esther Mwasumbi | Nurse Practitioner | 300 Crown Point Est, London, KY 40741-7531 | 2020-01-07 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1669021523 | Carla Deanne Gilbert | Nurse Practitioner | 100 London Mountain View Dr Ste B, London, KY 40741-6668 | 2019-09-04 |
| 1306302096 | Amber R Weeks | Nurse Practitioner | 133 Henry Clay Ln, London, KY 40744-8150 | 2019-02-18 |
| 1407325897 | Sherri Curtiss | Nurse Practitioner | 36 N Madison Rd, London, OH 43140-1061 | 2018-11-15 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1922592914 | Andrea M Goedel | Nurse Practitioner | 371 Lafayette St, London, OH 43140-9326 | 2018-06-21 |
| Find all providers in LONDON | ||||
Please comment or provide details below to improve the information on C & M MEDICAL LLC.
| 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.