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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | MEDICARE | K013930 | 01 |
Street Address |
1140 LEXINGTON RD |
City | GEORGETOWN |
State | KY |
Zip Code | 40324-9330 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 40324 |
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 |
---|---|---|---|---|
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 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 40324 |
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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.