KENTUCKY CENTER FOR THE PREVENTION OF HEART ATTACK STOKE AND DIABETES (NPI# 1679763049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679763049 |
| Entity Type | Organization |
| Organization Name | KENTUCKY CENTER FOR THE PREVENTION OF HEART ATTACK STOKE AND DIABETES |
| Practice Address |
1214 N Race St Suite B Glasgow KY 42141-3462 |
| Practice Telephone | 2706708777 |
| Mailing Telephone | 2706708777 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2009-04-17 |
| Authorized Official Name | PHILLIP BALE (OWNER AND PHYSICIAN) |
| Authorized Official Telephone | 2706708777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1214 N RACE ST SUITE B |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649589995 | T J Samson Community Hospital, Inc. | Nurse Practitioner | 1214 N Race St, Glasgow, KY 42141-3462 | 2010-10-05 |
| 1417003260 | T J Samson Community Hospital | Clinic/Center | 1214 N Race St, Suite A, Glasgow, KY 42141-3462 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| 1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
| 1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
| 1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
| 1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
| 1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
| 1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
| 1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
| 1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
| Find all providers in zip 42141 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033313390 | William F Marrs | Family Medicine | 511 N Race St, Glasgow, KY 42141-2913 | 2007-06-12 |
| 1588744346 | Gregory L Ward | Family Medicine | 411 S L Rogers Wells Blvd, Glasgow, KY 42141-1191 | 2006-10-16 |
| 1891725743 | Icc Medical LLC | Family Medicine | 405 S. L. Rogers Wells Blvd, Glasgow, KY 42141 | 2006-07-04 |
| 1891746400 | Jane P Sailer | Family Medicine | 730 Mcculloch St, Glasgow, VA 24555-2710 | 2006-05-16 |
| 1730155003 | Steven House | Family Medicine | 1325 N Race St, Glasgow, KY 42141-3454 | 2006-02-27 |
| 1417920224 | Martha Seeley | Family Medicine | 220 N Race St, Glasgow, KY 42141-2816 | 2006-02-10 |
| 1073503611 | Primary Care Associates of Southern Kentucky, Pllc | Family Medicine | 1330 N Race St, Suite 2, Glasgow, KY 42141-3465 | 2005-10-25 |
| 1518951896 | Kenny Joe Manion | Family Medicine | 411 S L Roger Wells Blvd, Glasgow, KY 42141-1191 | 2005-09-01 |
| 1346243284 | William G Marshall | Family Medicine | 108 Market St, Glasgow, MO 65254-1053 | 2005-05-24 |
| 1508483512 | Bluegrass Vein Clinic | Family Medicine | 201 Professional Park Dr, Glasgow, KY 42141-3486 | 2020-06-25 |
| Find all providers in GLASGOW | ||||
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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.