EASTERN KY BONE & JOINT SURGERY, PSC (NPI# 1770571713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770571713 |
| Entity Type | Organization |
| Organization Name | EASTERN KY BONE & JOINT SURGERY, PSC |
| Practice Address |
108 N Auxier Ave Pikeville KY 41501-9045 |
| Practice Telephone | 6064324111 |
| Practice Fax Number | 6064324126 |
| Mailing Telephone | 6064324111 |
| Mailing Fax Number | 6064324126 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES STEVEN SHOCKEY (PRESIDENT ORTHOPAEDIC SURGEON) |
| Authorized Official Telephone | 6064324111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65906539 | 05 |
| Street Address |
108 N AUXIER AVE |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235343419 | Pikeville Dermatology & Cosmetic Center, Psc | Dermatology | 108 N Auxier Ave, Pikeville, KY 41501-9045 | 2007-05-09 |
| 1932251832 | Eastern Ky. Bone & Joint Surgery,psc | Physician Assistant | 108 N Auxier Ave, Pikeville, KY 41501-9045 | 2007-01-18 |
| 1669426003 | Timothy R Lavender | Dermatology | 108 N Auxier Ave, Pikeville, KY 41501-9045 | 2006-05-20 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467645846 | Celia B. Hall | Specialist | 291 Peach Orchard Dr, Pikeville, KY 41501-1790 | 2007-08-20 |
| 1194826735 | Appalachian Cardiology Clinic, Psc | Specialist | 419 Town Mountain Rd Ste 202, Professional Associates Bldg, Pikeville, KY 41501-1633 | 2006-09-26 |
| 1629181458 | Ravinder Singh Bhagrath | Specialist | 255 Church Street, Suite 203, Pikeville, KY 41501-3476 | 2006-08-16 |
| 1245223411 | Anbu K Nadar | Specialist | 419 Town Mountain Rd, Suite 107, Pikeville, KY 41501-1631 | 2005-08-23 |
| 1588656078 | Oscar W Thompson IIi | Specialist | 387 Town Mountain Rd, Suite 201, Pikeville, KY 41501-1640 | 2005-08-19 |
| 1821489576 | Ellis Ray Tackett IIi | Specialist | 147 Sycamore St, Pikeville, KY 41501-9118 | 2015-02-16 |
| 1053582726 | Rao S. Bhatraju, Md, Psc | Specialist | 180 Town Mountain Rd, Suite 111, Pikeville, KY 41501-1698 | 2008-03-20 |
| 1750476834 | Ahmed Malik | Specialist | 255 Church St, Suite 204, Pikeville, KY 41501-3476 | 2006-10-04 |
| 1750476842 | Pikeville Cardiology Clinic | Specialist | 255 Church St, Suite 204, Pikeville, KY 41501-3476 | 2006-10-04 |
| 1669567236 | Richard L. Weaver | Specialist | 911 Bypass Road, Pikeville, KY 41501 | 2006-10-03 |
| Find all providers in PIKEVILLE | ||||
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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.