DR. STEVEN LEE TREVATHAN (NPI# 1861480741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861480741 |
| Entity Type | Individual |
| Full Name | DR. STEVEN LEE TREVATHAN |
| Credential | M.D. |
| Practice Address |
300 S 8th St Suite 107e Murray KY 42071-2400 |
| Mailing Address |
300 S 8th St Suite 480w Murray KY 42071-2400 |
| Practice Telephone | 2707621512 |
| Practice Fax Number | 2707522862 |
| Mailing Telephone | 2707621512 |
| Mailing Fax Number | 2707522862 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2017-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 21475 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64214752 | 05 |
| Street Address |
300 S 8TH ST SUITE 107E |
| City | MURRAY |
| State | KY |
| Zip Code | 42071-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006295 | James David Outland | Dermatology | 300 S 8th St, Suite 405, Murray, KY 42071-2400 | 2005-07-12 |
| 1306378682 | Kathy Crawford | Nurse Practitioner | 300 S 8th St, Ste 480w, Murray, KY 42071-2400 | 2017-03-28 |
| 1114301801 | Margaret Claire Norsworthy | Nurse Practitioner | 300 S 8th St, Ste 301e, Murray, KY 42071-2400 | 2015-07-13 |
| 1417346172 | Linda Dinh Smith | Physician Assistant | 300 S 8th St, Suite 182 West, Murray, KY 42071-2400 | 2015-01-20 |
| 1558762674 | Alysha Lauren Taylor | Physician Assistant | 300 S 8th St, Murray, KY 42071-2400 | 2014-09-08 |
| 1104230598 | Melissa Johnson | Clinical Nurse Specialist | 300 S 8th St, Ste 480w, Murray, KY 42071-2400 | 2014-06-13 |
| 1295070571 | Erica A Bazzell | Nurse Practitioner | 300 S 8th St, Suite 480w, Murray, KY 42071-2400 | 2012-11-28 |
| 1124372677 | Loreta Garretson | Internal Medicine | 300 S 8th St, Suite 403e, Murray, KY 42071-2400 | 2012-11-06 |
| 1881943140 | Richard E Blalock II | Orthopaedic Surgery | 300 S 8th St, Suite 284w, Murray, KY 42071-2400 | 2012-09-02 |
| 1558620740 | Valerie S Fisher | Internal Medicine | 300 S 8th St, Suite 480w, Murray, KY 42071-2400 | 2012-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306977798 | Ihc Health Services Inc | Urology | 5171 S Cottonwood St, Ste 720, Murray, UT 84107-5705 | 2007-03-08 |
| 1396870333 | Ihc Health Services | Urology | 5770 S 250 E, #170, Murray, UT 84107-8100 | 2007-02-22 |
| 1932156247 | Lynn Scott Chidester | Urology | 5169 Cottonwood St, Suite 420, Murray, UT 84107-6767 | 2006-05-30 |
| 1245282342 | Christopher G Stanczyk | Urology | 300 S 8th St, Suite 107e, Murray, KY 42071-2400 | 2006-05-17 |
| 1194792796 | Herschel S Jackson Jr. | Urology | 300 S 8th St, Suite 107#, Murray, KY 42071-2400 | 2006-03-02 |
| 1477531705 | Jay T Bishoff | Urology | 5169 Cottonwood St, Suite 420, Murray, UT 84107-6767 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874463 | Zeus Urological Services Southeast Kentucky Urology | Urology | 123 N 19th St Ste 203, Middlesboro, KY 40965-2865 | 2019-01-07 |
| 1124559190 | Nadia Gabriela Romero | Urology | 800 Rose St Rm Mn-283, Lexington, KY 40536 | 2017-03-22 |
| 1700297728 | Ahmed Haddad | Urology | 401 East Chestnut Street, #480, Louisville, KY 40202-9110 | 2014-05-13 |
| 1831533843 | Andrew Todd | Urology | 793 Eastern Byp Ste 101, Richmond, KY 40475-2425 | 2013-04-20 |
| 1053656991 | Baptist Health Richmond, Inc. | Urology | 1013 Center Drive, #5, Richmond, KY 40475-2407 | 2012-12-04 |
| 1962757187 | Daniel James Warburton | Urology | 1301 Pleasant Valley Rd Ste 302, Owensboro, KY 42303-9774 | 2012-07-14 |
| 1184915373 | Kellen Bo Yung Choi | Urology | 401 E Chestnut St Unit 480, Louisville, KY 40202-5704 | 2011-04-22 |
| 1922397033 | Alison Marie Rasper | Urology | Uk Urology 740 S Limestone Ste B200, Lexington, KY 40536-1522 | 2011-03-30 |
| 1699084731 | Lexington Unique Care Inc | Urology | 2628 Wilhite Dr, Lexington, KY 40503 | 2010-10-06 |
| 1659691053 | Ali Mahmoud Ziada | Urology | Urology Univ of Ky Med Ctr 800 Rose St, Room Ms 237, Lexington, KY 40536-0298 | 2010-06-08 |
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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.