JACLYN M ANDERSON (NPI# 1801000385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801000385 |
| Entity Type | Individual |
| Full Name | JACLYN M ANDERSON |
| Credential | MD |
| Practice Address |
7370 Turfway Rd Suite 200 Florence KY 41042-4895 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8592125025 |
| Practice Fax Number | 8592124432 |
| Mailing Telephone | 8592125025 |
| Mailing Fax Number | 8592124432 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 41045 | KY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35.089541 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0056986 | 05 | |
| KY | 7100016160 | 05 | |
| OH | OH LICENSE | 35.089541 | 01 |
| KY | KY LICENSE | 41045 | 01 |
| IN | 200994640 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295113 | Jaclyn Anderson | Pharmacist | 2700 Baker St Ste 3a, Muskegon Hts, MI 49444-2157 | 2017-06-26 |
| 1033485214 | Jaclyn Kate Anderson | Registered Nurse | N7770 Loyalty Rd, Blanchardville, WI 53516-9624 | 2012-04-01 |
| 1477950095 | Jaclyn Nicole Anderson | Physician Assistant | 2000 Green Rd, 300, Ann Arbor, MI 48105-1598 | 2014-11-25 |
| 1154720696 | Jaclyn Anderson | Specialist/Technologist | 1101 Camden Ave, Salisbury, MD 21801-6837 | 2014-08-21 |
| 1538451067 | Jaclyn Anderson | Dental Assistant | 11012 Canyon Rd E, Suite #8 Pmb #761, Puyallup, WA 98373-4200 | 2011-05-02 |
| 1295920726 | Jaclyn Marie Anderson | Occupational Therapist | 124 W Fourth St, Suttons Bay, MI 49682-9733 | 2007-09-07 |
| 1316974041 | Jaclyn Kay Anderson | Internal Medicine | 200 Abbott Park Rd, Dept. R4ne, Bldg. Ap34-2, Abbott Park, IL 60064-6187 | 2006-06-27 |
| Street Address |
7370 TURFWAY RD SUITE 200 |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-4895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151719 | Charles J Breen | Specialist | 7370 Turfway Rd, Ste 300, Florence, KY 41042-4895 | 2005-06-01 |
| 1235625187 | Alicia B Davidson | Nurse Practitioner | 7370 Turfway Rd, Florence, KY 41042-4895 | 2018-07-03 |
| 1679001622 | Michael Joe Duncan | Nurse Practitioner | 7370 Turfway Rd, Florence, KY 41042-4895 | 2017-06-02 |
| 1386039782 | Brandon Mchenry | Pediatrics | 7370 Turfway Rd, Florence, KY 41042 | 2015-04-02 |
| 1639586688 | Summit Medical Group, Inc | Urology | 7370 Turfway Rd, 3rd Floor, Florence, KY 41042-4895 | 2014-07-22 |
| 1427488972 | Summit Medical Group,inc | Ophthalmology | 7370 Turfway Rd, Ste 370, Florence, KY 41042-4895 | 2013-11-20 |
| 1184065690 | Natalie Leticia Hone Romero | Dermatology | 7370 Turfway Rd, Florence, KY 41042 | 2013-07-12 |
| 1952742710 | Jennifer Lynn Dooley | Advanced Practice Midwife | 7370 Turfway Rd, Ste 390, Florence, KY 41042 | 2013-07-09 |
| 1598008856 | Colin Turney | Family Medicine | 7370 Turfway Rd, Suite 100, Florence, KY 41042-4895 | 2013-04-04 |
| 1174870406 | James Michael Morrow | Podiatrist | 7370 Turfway Rd, Florence, KY 41042 | 2012-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164573564 | Primary Pediatrics | Pediatrics | 59 Cavalier Blvd, Suite 330, Florence, KY 41042-3901 | 2007-01-15 |
| 1518062561 | Daniel James Hammond | Pediatrics | 208 Ana Dr, Florence, AL 35630-1750 | 2006-09-14 |
| 1225132665 | Deidre L. Mcsweeney - Tyson | Pediatrics | 101 William H Johnson St Ste 420, Florence, SC 29506-2769 | 2006-09-07 |
| 1790793719 | David Richard Colvard | Pediatrics | 421 W College St, Infant & Childrens Clinic PC, Florence, AL 35630-5520 | 2006-08-04 |
| 1700894714 | Grant R Allen | Pediatrics | 421 West College St, Infants and Childrens Clinic PC, Florence, AL 35630 | 2006-08-04 |
| 1992749220 | Eastern Carolina Pediatric Associates | Pediatrics | 1530 Mcclure Ct, Florence, SC 29505-6046 | 2006-06-16 |
| 1194767723 | Christopher Thomas Bardi | Pediatrics | 1530 Mcclure Court, Florence, SC 29505-6046 | 2006-06-11 |
| 1356305478 | Sharon Schroeder Wynn | Pediatrics | 7409 Us 42, Florence, KY 41042-1905 | 2006-04-14 |
| 1912967027 | Camille R Crawford | Pediatrics | 10032 Demia Way, Florence, KY 41042 | 2006-03-23 |
| 1528048980 | Robert M Siegel | Pediatrics | 7380 Tufway Rd, Florence, KY 41042 | 2006-01-20 |
| Find all providers in FLORENCE | ||||
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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.