DR. AMY D CARRILLO (NPI# 1780878330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780878330 |
| Entity Type | Individual |
| Full Name | DR. AMY D CARRILLO |
| Credential | DO |
| Practice Address |
170 N Eagle Creek Dr Ste 104 Lexington KY 40509-9087 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Practice Telephone | 8599675848 |
| Practice Fax Number | 8599675473 |
| Mailing Telephone | 6063307840 |
| Mailing Fax Number | 6063307825 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 03678 | KY | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | DO0000001939 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1508408 | 05 | |
| KY | 7100314440 | 05 | |
| TN | BLUE CROSS BLUE SHIELD OF TN | 41954515 | 01 |
| KY | 7100314440 (KOHMG) | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 496 Southland Dr, Lexington, KY 405031827 | 8592882425 | 8597213918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366082075 | Amy Diane Carrillo | Nurse Practitioner | 2461 E 11th St Ste A, Odessa, TX 79761-4272 | 2020-01-10 |
| 1023268927 | Amy Carrillo | Counselor | 1661 N Raymond Ave, Suite 200, Anaheim, CA 92801-1120 | 2008-09-26 |
| Street Address |
170 N EAGLE CREEK DR STE 104 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-9087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578694022 | Celena Gail Williams | Nurse Practitioner | 170 N Eagle Creek Dr Ste 104, Lexington, KY 40509 | 2007-03-08 |
| 1811377377 | Amy Elizabeth Baker | Obstetrics & Gynecology | 170 N Eagle Creek Dr Ste 104, Lexington, KY 40509 | 2015-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| 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 |
|---|---|---|---|---|
| 1285098061 | Audrey Garneau | Obstetrics & Gynecology | 800 Rose St # C368, Lexington, KY 40536-4720 | 2016-04-07 |
| 1558743658 | Katherine Schluter Vignes | Obstetrics & Gynecology | Obstetrics and Gynecology, 800 Rose Street C-368, Lexington, KY 40536-0293 | 2015-06-24 |
| 1912387523 | Emily Jordan Gregory | Obstetrics & Gynecology | 1700 Nicholasville Rd Ste 703, Lexington, KY 40503-1467 | 2015-06-09 |
| 1679993372 | Mary Baylon | Obstetrics & Gynecology | 1700 Nicholasville Rd Ste 704, Lexington, KY 40503-1467 | 2014-04-21 |
| 1518387687 | Claire Alison Fish | Obstetrics & Gynecology | 468 Holiday Road, Lexington, KY 40502 | 2014-04-16 |
| 1881012946 | Peter Movilla | Obstetrics & Gynecology | Uk Women's Health Obstetrics and Gynecology, 125 E Maxwell St Ste 140, Lexington, KY 40508 | 2014-04-04 |
| 1255697900 | Sarah Borders | Obstetrics & Gynecology | 1702 Nicholasville Road, Suite 702, Lexington, KY 40503-1489 | 2012-04-06 |
| 1508189168 | Mark Richard Hoffman | Obstetrics & Gynecology | 800 Rose St Rm C-375, Lexington, KY 40536-0084 | 2010-03-10 |
| 1043449341 | Shebna Unes Kunju | Obstetrics & Gynecology | 800 Rose St Rm C-368, Lexington, KY 40536-0293 | 2009-07-08 |
| 1265669949 | Cecilia King-porter | Obstetrics & Gynecology | 27 Carriage Dr, Lexington, MA 02420-1141 | 2009-06-19 |
| Find all providers in LEXINGTON | ||||
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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.