OBSTETRICS & GYNECOLOGY OF PADUCAH PSC (NPI# 1699881862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699881862 |
| Entity Type | Organization |
| Organization Name | OBSTETRICS & GYNECOLOGY OF PADUCAH PSC |
| Practice Address |
2603 Kentucky Ave Suite 201 Paducah KY 42003-3814 |
| Mailing Address |
Po Box 8209 Paducah KY 42002-8209 |
| Practice Telephone | 2704431220 |
| Practice Fax Number | 2704430023 |
| Mailing Telephone | 2704431220 |
| Mailing Fax Number | 2704430023 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-05-19 |
| Authorized Official Name | DR. STEWART BLAIR TOLAR (PRESIDENT) |
| Authorized Official Telephone | 2704431220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
2603 KENTUCKY AVE SUITE 201 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656658 | Theodore Edwin Clyde Davies | Neurological Surgery | 2603 Kentucky Ave, Ste 404, Paducah, KY 42003-3814 | 2005-06-01 |
| 1760873939 | Brandy Buckhalter | Nurse Practitioner | 2603 Kentucky Ave, Suite 105, Paducah, KY 42003-3814 | 2015-02-10 |
| 1699179895 | Baptist Health Medical Group Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2014-10-17 |
| 1568862951 | Amy Knees | Nurse Practitioner | 2603 Kentucky Ave, Suite 301, Paducah, KY 42003-3814 | 2014-09-04 |
| 1932519766 | Chadwick Bassi | Podiatrist | 2603 Kentucky Ave, Suite 105, Paducah, KY 42003-3814 | 2014-05-01 |
| 1679998140 | Jonathan Gipson | Nurse Practitioner | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2014-02-20 |
| 1962832295 | Western Baptist Medical Ventures, Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 201, Paducah, KY 42003-3814 | 2013-11-22 |
| 1487924353 | Thomas James Gruber | Neurological Surgery | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2012-01-09 |
| 1013229368 | William Lee Titsworth | Neurological Surgery | 2603 Kentucky Ave, Suite 402, Paducah, KY 42003-3814 | 2010-07-01 |
| 1568699478 | Western Baptist Medical Ventures, Inc | Clinical Nurse Specialist | 2603 Kentucky Ave, Suite 304, Paducah, KY 42003-3814 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1477540508 | Paul H Price Jr. | Obstetrics & Gynecology | 2311 Kentucky Ave, Paducah, KY 42003-3243 | 2005-10-04 |
| 1235457359 | Amanda Ellen Wagner | Obstetrics & Gynecology | 1532 Lone Oak Rd, Suite 245, Paducah, KY 42003-7913 | 2010-05-13 |
| 1821232273 | Amber D Savells | Obstetrics & Gynecology | 2605 Kentucky Ave, Suite 301, Paducah, KY 42003-3800 | 2009-04-29 |
| 1952566788 | Miriam Danese Slatter Hall | Obstetrics & Gynecology | 1532 Lone Oak Rd, Suite 245, Paducah, KY 42003-7941 | 2008-07-21 |
| 1629274576 | Dr. Pamela S. Hodges Md Psc | Obstetrics & Gynecology | 2605 Kentucky Ave, Suite 304, Paducah, KY 42003-3800 | 2007-06-26 |
| 1508061599 | Purchase Womens Health Care Associates P S C | Obstetrics & Gynecology | 2603 Kentucky Ave, Suite 101, Paducah, KY 42003 | 2007-06-19 |
| 1962626598 | Mercy Health Partners - Lourdes, Inc | Obstetrics & Gynecology | 1532 Lone Oak Rd, Suite 245, Paducah, KY 42003-7913 | 2007-04-13 |
| 1720115009 | Dr. Kelly Raff Anunciato D.o. Psc | Obstetrics & Gynecology | 2605 Kentucky Ave, Ste 502 - Bldg 3, Paducah, KY 42003 | 2007-02-27 |
| 1487729711 | Owens Obstetrics and Gynecology Psc | Obstetrics & Gynecology | 2603 Kentucky Ave, Ste 302, Paducah, KY 42003-3814 | 2006-11-21 |
| Find all providers in PADUCAH | ||||
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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.