METHODIST HEALTH, INC. (NPI# 1780249060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780249060 |
| Entity Type | Organization |
| Organization Name | METHODIST HEALTH, INC. |
| Other Organization Name | DEACONESS HENDERSON PAIN SERVICES |
| Practice Address |
1305 N Elm St Henderson KY 42420-2783 |
| Practice Telephone | 2709578800 |
| Practice Fax Number | 2709578797 |
| Mailing Telephone | 7095787972 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | STEPHANIE JENKINS (VP) |
| Authorized Official Telephone | 2708277118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Deaconess Henderson Pain Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689232258 | Methodist Health, Inc. | Internal Medicine | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2019-05-30 |
| 1871082339 | Methodist Health, Inc. | Nurse Practitioner | 1305 N Elm St Ste E, Henderson, KY 42420-2783 | 2018-05-09 |
| 1578997482 | Methodist Health, Inc. | Nurse Practitioner | 2000 N Elm St Ste 1a, Henderson, KY 42420-2385 | 2013-08-27 |
| 1427290774 | Methodist Health, Inc. | Nurse Practitioner | 319 8th St Ste 1, Henderson, KY 42420-2963 | 2009-04-01 |
| 1609018951 | Methodist Health, Inc. | Nurse Practitioner | 1413 N Elm St Ste 201, Henderson, KY 42420-2767 | 2009-04-01 |
| 1154567402 | Methodist Health, Inc. | Family Medicine | 1305 N Elm St Ste A, Henderson, KY 42420-2783 | 2008-12-16 |
| 1013192293 | Methodist Health, Inc. | Family Medicine | 47 W. Webster Street, Sebree, KY 42455-0426 | 2008-01-07 |
| 1821212002 | Methodist Health, Inc. | Clinic/Center | 4604 Us Hwy 60 West, Morganfield, KY 42437 | 2007-04-12 |
| 1225016801 | Methodist Health, Inc. | Anesthesiology | 1305 North Elm St, Henderson, KY 42420 | 2006-01-04 |
| 1548248123 | Methodist Health, Inc. | Family Medicine | 1284 Us Highway 60 W, Morganfield, KY 42437-6236 | 2006-01-04 |
| Street Address |
1305 N ELM ST |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026679 | Sheri Dawn Montgomery | Emergency Medicine | 1305 N Elm St, Er, Henderson, KY 42420-2783 | 2005-07-08 |
| 1144845868 | Laura L Kirk | Physician Assistant | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-06-09 |
| 1659993582 | Deaconess Clinic, Inc | Internal Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-05-14 |
| 1336768993 | Carla M Wise | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-04-14 |
| 1528697869 | Jessica L Utley | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2775 | 2020-04-08 |
| 1457987877 | Tabicia Linn Mattingly | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-03-17 |
| 1912544958 | Methodist Health, Inc. | Emergency Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-12-10 |
| 1962055863 | Methodist Health, Inc. | Pharmacy | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-19 |
| 1669034252 | Shelby Nichole Hite | Speech-Language Pathologist | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-03 |
| 1740753086 | Andrea Lynn Clemons | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568793537 | Phil Y.c. Chen, Do, A Professional Corporation | Clinic/Center | 219 N Pecos Rd, Henderson, NV 89074-7359 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871871780 | Greater Kentucky Wellness Center LLC | Clinic/Center | 101 River Dr, Irvine, KY 40336-1117 | 2011-07-26 |
| 1962704908 | Jackson Pain Management Clinic, Pllc | Clinic/Center | 327 Briarcliff Ln, Danville, KY 40422-9789 | 2010-11-24 |
| 1679873400 | Caremore Pain Management | Clinic/Center | 420 Teays Br, Paintsville, KY 41240-8548 | 2010-10-27 |
| 1023346194 | St. John Neumanns Intergrated Pain Management | Clinic/Center | 1389 Highway 15 N., Jackson, KY 41339 | 2009-11-30 |
| 1972619641 | Pain Care Center | Clinic/Center | 310 S Limestone St, Lexington, KY 40508 | 2006-08-22 |
| 1124537204 | North Dixie Medical Center Pllc | Clinic/Center | 3502 Dixie Hwy, Louisville, KY 40216-5069 | 2017-09-21 |
| 1902329436 | Donald Douglas,md | Clinic/Center | 261 Ruccio Way Ste 190, Lexington, KY 40503-3566 | 2017-07-17 |
| 1124578703 | Pain Management Medicine | Clinic/Center | 715 Shaker Dr, Suite 132, Lexington, KY 40504-3662 | 2016-10-07 |
| 1568834786 | Deschner Medical Services LLC Deboss Neurology & Pain Clinic | Clinic/Center | 360 Amsden Ave, Specialty Suite, Versailles, KY 40383-1851 | 2015-10-27 |
| 1285984484 | Preston Medical Center, LLC | Clinic/Center | 5703 Preston Hwy, Suite B, Louisville, KY 40219-1305 | 2012-09-14 |
| 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.