KIDNEY SPECIALISTS OF PADUCAH (NPI# 1740765957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740765957 |
| Entity Type | Organization |
| Organization Name | KIDNEY SPECIALISTS OF PADUCAH |
| Practice Address |
1532 Lone Oak Rd Ste 315 Paducah KY 42003-7942 |
| Practice Telephone | 2705385880 |
| Practice Fax Number | 2705385870 |
| Mailing Telephone | 2705385880 |
| Mailing Fax Number | 2705385870 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | DR. SHAUKAT ALI (MEMBER) |
| Authorized Official Telephone | 2705385880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
1532 LONE OAK RD STE 315 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-7942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770759 | Joseph L Becker | Nurse Practitioner | 1532 Lone Oak Rd Ste 315, Paducah, KY 42003-7942 | 2020-02-04 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235326737 | Jonathan David Wilkerson | Internal Medicine | 1532 Lone Oak Rd, Suite 315, Paducah, KY 42003-7913 | 2007-09-28 |
| 1700956844 | Shaukat Ali | Internal Medicine | 1532 Lone Oak Rd, Suite 315, Paducah, KY 42003-7913 | 2006-11-08 |
| 1235208844 | Eric Scowden | Internal Medicine | 1532 Lone Oak Rd, Paducah, KY 42003-7913 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665807 | Means Adult Primary Care Clinic of Kentucky Pllc | Internal Medicine | 1145 W Lexington Ave Fl 2, Winchester, KY 40391-1290 | 2019-12-02 |
| 1932587300 | Hopkinsville Kidney Care Pllc | Internal Medicine | 215 Burley Ave, Suite 2, Hopkinsville, KY 42240-8725 | 2015-05-18 |
| 1124419668 | Hardin County Primary Care Pllc | Internal Medicine | 912 Woodland Dr, Suite B, Elizabethtown, KY 42701-2795 | 2015-02-05 |
| 1245641307 | Mustafa S Mawih | Internal Medicine | 830 Thomas More Pkwy Ste 200, Edgewood, KY 41017-5103 | 2014-05-12 |
| 1174784466 | Jennifer Hughes Shuemaker | Internal Medicine | 720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 | 2008-06-19 |
| 1518138759 | Muhammad Irfan Atiq | Internal Medicine | 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504-1791 | 2008-03-16 |
| 1881874592 | Eastern Kentucky Kidney Care, Psc | Internal Medicine | 141 Weddington Branch Rd, Pikeville, KY 41501-3204 | 2007-11-09 |
| 1932398120 | Sujata Reddy, Md., Pllc | Internal Medicine | 930 Happy Valley Rd, Glasgow, KY 42141-1332 | 2007-10-24 |
| 1316136567 | Elisha Lancaster | Internal Medicine | 830 Thomas More Parkway, Ste 202, Edgewood, KY 41017 | 2007-10-23 |
| 1881887685 | Hania Kassem | Internal Medicine | 716 W. Broadway, Louisville, KY 40202-2216 | 2007-08-24 |
| 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.