ORAL & MAXILLOFACIAL SURGERY PSC INC (NPI# 1831292226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831292226 |
Entity Type | Organization |
Organization Name | ORAL & MAXILLOFACIAL SURGERY PSC INC |
Practice Address |
2301 Lexington Ave Ste 120 Ashland KY 41101 |
Practice Telephone | 6063292219 |
Practice Fax Number | 6063259997 |
Mailing Telephone | 6063292219 |
Mailing Fax Number | 6063259997 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. WINFIELD C JOHN III (PRESIDENT) |
Authorized Official Telephone | 6063292219 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
4340 | KY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 60043403 | 05 |
Street Address |
2301 LEXINGTON AVE STE 120 |
City | ASHLAND |
State | KY |
Zip Code | 41101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346242153 | Henry C Goodman | Psychiatry & Neurology | 2301 Lexington Ave, Suite 300, Ashland, KY 41101-2873 | 2005-08-11 |
1740679562 | Vinay Vermani, M.d. Inc | Specialist | 2301 Lexington Ave, Suite 135, Ashland, KY 41101-2873 | 2015-01-16 |
1487051538 | Tri-state Anesthesia Group Psc | Anesthesiology | 2301 Lexington Ave, Suite 100, Ashland, KY 41101-2873 | 2014-12-04 |
1679889166 | Gregory L Moore Jr. | Physician Assistant | 2301 Lexington Ave, Suite 230, Ashland, KY 41101-2873 | 2010-08-23 |
1023347366 | Malcolm H. King, Psc | Family Medicine | 2301 Lexington Ave, Suite 205, Ashland, KY 41101-2873 | 2009-12-16 |
1346412285 | Vinay Vermani, M.d., Dba Tri-state Cancer and Blood Specialist | Internal Medicine | 2301 Lexington Ave, Suite 135, Ashland, KY 41101-2873 | 2008-04-01 |
1417129354 | Vinay Vermani, M.d., Dba Tri-state Cancer and Blood Specialist | Internal Medicine | 2301 Lexington Ave, Suite 135, Ashland, KY 41101-2873 | 2008-04-01 |
1710158464 | Winfield Clinton John IIi | Dentist | 2301 Lexington Ave, Suite 120, Ashland, KY 41101-2873 | 2008-03-20 |
1205024916 | Tri-state Cardiology Associates Psc | Internal Medicine | 2301 Lexington Ave, Ste 320, Ashland, KY 41101 | 2007-10-09 |
1770779084 | S Douglas Deitch Md Psc | Specialist | 2301 Lexington Ave, Suite 310, Ashland, KY 41101-2873 | 2007-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
Find all providers in zip 41101 |
Taxonomy Code | 261QS0112X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629554639 | Wurth Oral, Facial and Cosmetic Surgery | Clinic/Center | 914 N Dixie Ave Ste 207, Elizabethtown, KY 42701-2520 | 2018-07-12 |
1528331642 | Anderson Oral and Maxillofacial Surgery, P.s.c | Clinic/Center | 1675 S Main St, Laurel Medical Center, Lower Level, London, KY 40741-2050 | 2012-02-21 |
1629233622 | David L. Wells II Dmd Md Pllc | Clinic/Center | 3080 Harrodsburg Rd, Suite 275, Lexington, KY 40503-2774 | 2008-07-19 |
1003099227 | Tri-state Oral and Maxillofacial Surgery LLC | Clinic/Center | 2300 Conner Rd, Hebron, KY 41048 | 2007-12-11 |
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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.