SPECIALISTSMAT PSC (NPI# 1851998181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851998181 |
| Entity Type | Organization |
| Organization Name | SPECIALISTSMAT PSC |
| Practice Address |
110 Chase Way Ste 2 Elizabethtown KY 42701-7827 |
| Mailing Address |
528 Barberry Ln Louisville KY 40206-2975 |
| Practice Telephone | 5022120071 |
| Practice Fax Number | 5025305303 |
| Mailing Telephone | 5022120071 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | GUY LERNER (OWNER) |
| Authorized Official Telephone | 5025520018 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
110 CHASE WAY STE 2 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-7827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063988228 | Center for Recovery and Wellness | Anesthesiology | 50 Lovell Ct Ste B, Mount Vernon, KY 40456-2964 | 2018-10-15 |
| 1396282067 | New Life Treatment Center, LLP | Anesthesiology | 88 Cedar St, Kuttawa, KY 42055 | 2017-01-19 |
| 1689730657 | Gary L Higgason | Anesthesiology | 1113 Zoeller Ct, Lexington, KY 40511-2310 | 2006-12-27 |
| 1578566766 | Craig Clayton Cartia | Anesthesiology | 106 Belinda Blvd, Danville, KY 40422-3217 | 2005-05-23 |
| 1841670734 | Infinity Healthcare Systems LLC | Anesthesiology | 912 Dupont Rd, Louisville, KY 40207-4602 | 2015-06-04 |
| 1578853602 | Kristal Lee Ann Wilson | Anesthesiology | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2011-04-11 |
| 1063476216 | Michael Eugene Fletcher | Anesthesiology | 500 Thomas More Pkwy, Crestview Hills, KY 41017-3454 | 2006-04-14 |
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on SPECIALISTSMAT PSC.
| 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.