KENTUCKY MSO, LLC


Address: 1140 Lexington Rd, Georgetown, KY 40324-9330
Phone: 8558762412

KENTUCKY MSO, LLC (NPI# 1679902340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679902340
Entity Type Organization
Organization Name KENTUCKY MSO, LLC
Practice Address 1140 Lexington Rd
Georgetown
KY 40324-9330
Mailing Address Po Box 1538
Georgetown
KY 40324-6538
Practice Telephone 8558762412
Practice Fax Number 5025705610
Mailing Telephone 8558762412
Mailing Fax Number 5025705610
Enumeration Date 2013-11-04
Last Update Date 2020-06-01
Authorized Official Name KATHY TEAGUE (CORPORATE SECRETARY)
Authorized Official Telephone 6159207000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 231H00000X Audiologist Speech, Language and Hearing Service Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY MEDICARE K013930 01

Office Location

Street Address 1140 LEXINGTON RD
City GEORGETOWN
State KY
Zip Code 40324-9330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538164884 Charles Richard Hill Obstetrics & Gynecology 1140 Lexington Rd, Ste 205, Georgetown, KY 40324-9330 2005-06-14
1245852474 Melissa Diane Williams Nurse Practitioner 1140 Lexington Rd, Georgetown, KY 40324-9330 2020-05-11
1134769904 Peyton Madison Blanton Nurse Practitioner 1140 Lexington Rd, Georgetown, KY 40324-9330 2020-01-09
1588028617 Kelly R. Woodard Nurse Anesthetist, Certified Registered 1140 Lexington Rd, Georgetown, KY 40324-9330 2016-04-05
1366885774 The Center for Better Hearing, LLC Audiologist 1140 Lexington Rd, Suite 102, Georgetown, KY 40324-9330 2013-04-16
1336483957 Kentucky Mso LLC Physician Assistant 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9330 2012-11-20
1891055877 Vinod Kumar Muniswamy Anesthesiology 1140 Lexington Rd, Georgetown, KY 40324-9330 2012-05-23
1821383662 Jason Rasmussen Md Pllc Surgery 1140 Lexington Rd, Suite 203, Georgetown, KY 40324-9330 2011-06-09
1316239841 Kentucky Mso LLC Psychiatry & Neurology 1140 Lexington Rd, Suite 105, Georgetown, KY 40324-9330 2011-05-03
1376867028 Jessica R. Schertz Nurse Anesthetist, Certified Registered 1140 Lexington Rd, Georgetown, KY 40324-9330 2010-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306457577 Katherine Lynn Helly Specialist/Technologist 108 Crawford Dr, Georgetown, KY 40324 2020-08-12
1629530597 Hannah Cheyenne Lambert Occupational Therapy Assistant 12 Dover Dr, Georgetown, KY 40324 2019-04-01
1669932430 Kathlyn Reeves Cummings Occupational Therapist 112 Dover Drive Dover Manor, Georgetown, KY 40324 2019-03-20
1356848147 Conundrum, Inc Home Health 107 Frazier Ct Ste 2b, Georgetown, KY 40324 2018-04-09
1831698893 Staci Case Counselor 110 E. Main St. Suite 111, Georgetown, KY 40324 2018-02-06
1821537002 Lesa Young Counselor 112 Gatewood Drive, Georgetown, KY 40324 2017-02-21
1508235904 Recovery Works Specialist 3109 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1417326810 Recovery Works Specialist 3111 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1982073383 Recovery Works Specialist 3109-5 Cincinnati Road, Georgetown, KY 40324 2015-09-16
1871962274 Recovery Works Specialist 3111-5 Cincinnati Road, Georgetown, KY 40324 2015-09-16
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154966885 Carehere LLC Family Medicine 1745 N Fraser St, Georgetown, SC 29440-6407 2019-11-18
1528628773 Donohoo Primary Care LLC Family Medicine 5160 State Route 125, Georgetown, OH 45121-9518 2019-06-19
1356864938 The Healthy Hedgehog Wellness Coach, LLC Family Medicine 137 S Hamilton St, Georgetown, KY 40324-1671 2017-07-25
1982066528 Imren Ozturk Family Medicine Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 2016-03-23
1548517600 Concentra Primary Care Pa Family Medicine 1502 Oxford Drive, Georgetown, KY 40324-8094 2012-08-08
1073876306 Kathryn Drake Hart Family Medicine 603 W University Ave, Georgetown, TX 78626-6684 2012-06-21
1649582032 Matilda Serwaa Malm Family Medicine 422 N Fraser St, Georgetown, SC 29440-3260 2010-07-14
1487881264 Cody D Mead Family Medicine 6517 N Lakewood Dr, Georgetown, TX 78633-9530 2009-06-18
1134377849 Katherine Marie Vega Family Medicine 4749 Williams Dr Ste 304, Georgetown, TX 78633-3700 2008-09-05
1790957090 Physician Longevity Institute, Inc Family Medicine 1221 Leander Rd, Georgetown, TX 78628-8707 2008-03-26
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Competitor

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City GEORGETOWN
Zip Code 40324

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Dataset Information

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.

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