PIKEVILLE MEDICAL CENTER INC. (NPI# 1710207865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710207865 |
| Entity Type | Organization |
| Organization Name | PIKEVILLE MEDICAL CENTER INC. |
| Other Organization Name | PIKEVILLE MEDICAL CENTER CLINIC @ WALMART |
| Practice Address |
254 Cassidy Blvd Pikeville KY 41501-1426 |
| Mailing Address |
Po Box 432 Pikeville KY 41502-0432 |
| Practice Telephone | 6064370123 |
| Practice Fax Number | 6062184788 |
| Mailing Telephone | 6062183500 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | MICHELLE HAGY (CFO) |
| Authorized Official Telephone | 6062183500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1300366 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 1300366 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 207Q00000X | Family Medicine | 1300366 | KY | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65922361 | 05 | |
| KY | 7100155680 | 05 | |
| KY | 7100152490 | 05 | |
| KY | 7100155720 | 05 | |
| KY | 7100155700 | 05 | |
| KY | 7100155970 | 05 |
| Other Name | Type Code |
|---|---|
| Pikeville Medical Center Clinic @ Walmart | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801106281 | Pikeville Medical Center Inc. | Clinic/Center | 148 Suite A, Whitesburg Plaza, Whitesburg, KY 41858 | 2010-10-19 |
| 1982914552 | Pikeville Medical Center Inc. | Clinic/Center | 780 Commonwealth Drive, Norton, VA 24273-0451 | 2010-10-18 |
| 1194967109 | Pikeville Medical Center Inc. | Durable Medical Equipment & Medical Supplies | 138 S Mayo Trl, Pikeville, KY 41501-1309 | 2009-04-06 |
| 1619598901 | Pikeville Medical Center Inc. | Pharmacy | 911 Bypass Road, Building E Suite 2, Pikeville, KY 41501 | 2020-04-28 |
| 1093119828 | Pikeville Medical Center Inc. | Audiologist | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2014-10-22 |
| 1225441181 | Pikeville Medical Center Inc. | Podiatrist | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2014-06-09 |
| 1528195864 | Pikeville Medical Center Inc. | Optometrist | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Pikeville Medical Center Inc. | 911 Bypass Road, Pikeville, Kentucky 41501 |
| Street Address |
254 CASSIDY BLVD |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548287865 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2006-07-16 |
| 1023619061 | Stephanie Lynn Wallace | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
| 1740881788 | Stacy Michelle Chaffins | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
| 1932582145 | Andrew Belcher | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2015-07-07 |
| 1104209725 | Autumn Lewis | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2015-06-30 |
| 1164851598 | Kimberly Cook | Nurse Practitioner | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2013-11-06 |
| 1750626271 | Reed Vision Pllc | Optometrist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2012-12-10 |
| 1306150156 | Meredith Jarvis Reed | Optometrist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2010-08-04 |
| 1629381306 | Rebecca L. Ramey | Nurse Practitioner | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2010-07-22 |
| 1346325578 | Stephanie Danielle Baker | Nurse Practitioner | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1083192595 | Carson Black Lung Center of Pineville, Inc. | Clinic/Center | 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452 | 2018-08-06 |
| 1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1245747674 | Phaup Chiropractic Center, LLC | Clinic/Center | 95 Ymca Dr Ste A, Madisonville, KY 42431-9035 | 2018-01-08 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1740717818 | Jones-o'neal Enterprises, Pllc | Clinic/Center | 135 Morgan St, Versailles, KY 40383-1428 | 2017-05-18 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
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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.