MEMORIAL HOSPITAL, INC. (NPI# 1902208267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902208267 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL, INC. |
| Other Organization Name | MANCHESTER PEDIATRICS |
| Practice Address |
94 Marie Langdon Dr Suite 1 Manchester KY 40962-6353 |
| Mailing Address |
509 Memorial Dr Suite 2 Manchester KY 40962-6195 |
| Practice Telephone | 6065990396 |
| Practice Fax Number | 6065990586 |
| Mailing Telephone | 6065985104 |
| Mailing Fax Number | 6065980983 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-10-21 |
| Authorized Official Name | CONNIE FARMER (BILLING MANAGER) |
| Authorized Official Telephone | 6065985104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Manchester Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598782096 | Memorial Hospital, Inc. | Home Health | 705 C Street, Ceredo, WV 25507 | 2006-07-17 |
| 1891720348 | Memorial Hospital, Inc. | Home Health | 155 E 2nd Ave, Williamson, WV 25661-3601 | 2006-07-12 |
| 1902839293 | Memorial Hospital, Inc. | Home Health | 149 Health Care Ln, Jellico, TN 37762-4433 | 2006-07-09 |
| 1376532713 | Memorial Hospital, Inc. | Clinic/Center | 502 E Elm Dr, Loyal, WI 54446-9604 | 2005-10-18 |
| 1457999476 | Memorial Hospital, Inc. | Clinic/Center | 102 W Cannery St, Greenwood, WI 54437-9705 | 2019-12-20 |
| 1760020838 | Memorial Hospital, Inc. | Clinic/Center | 212800 Stainless Ave, Stratford, WI 54484-4325 | 2019-12-19 |
| 1780222844 | Memorial Hospital, Inc. | Clinic/Center | 111 Dehne Dr, Colby, WI 54421-9581 | 2019-12-19 |
| 1881112134 | Memorial Hospital, Inc. | Clinic/Center | 145 Orchard St, Oneida, KY 40972 | 2017-09-07 |
| 1962803460 | Memorial Hospital, Inc. | Clinic/Center | 65 Glenndale Rd, Suite 2, Manchester, KY 40962-6212 | 2014-09-16 |
| 1598166092 | Memorial Hospital, Inc. | Family Medicine | 515 Memorial Dr, Manchester, KY 40962-9157 | 2014-09-16 |
| Street Address |
94 MARIE LANGDON DR SUITE 1 |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-6353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801855150 | Willowbrook Womens Center | Specialist | 94 Marie Langdon Dr, Ste 4, Manchester, KY 40962-6353 | 2006-03-23 |
| 1770962961 | Judy Hacker | Nurse Practitioner | 94 Marie Langdon Dr, Suite 4, Manchester, KY 40962-6353 | 2015-05-21 |
| 1811220171 | Suzann Smith | Nurse Practitioner | 94 Marie Langdon Dr, Suite 2, Manchester, KY 40962-6353 | 2009-09-17 |
| 1366619488 | James Delmar Dawson Jr. | Obstetrics & Gynecology | 94 Marie Langdon Dr, Suite 4, Manchester, KY 40962-6353 | 2008-05-08 |
| 1609040179 | Memorial Hospital, Inc. | Family Medicine | 94 Marie Langdon Dr, Suite 1, Manchester, KY 40962-6353 | 2008-04-16 |
| 1447470539 | Memorial Hospital, Inc. | Family Medicine | 94 Marie Langdon Dr, Manchester, KY 40962-6353 | 2007-04-30 |
| 1437375839 | Kishore Internal Medicine | Specialist | 94 Marie Langdon Dr, Suite 2, Manchester, KY 40962-6353 | 2007-04-17 |
| 1255471827 | Memorial Hospital Inc. | Pediatrics | 94 Marie Langdon Dr, Suite 4, Manchester, KY 40962-6353 | 2007-02-06 |
| 1508971524 | Ella Mae Mcdaniel | Nurse Practitioner | 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962-6353 | 2006-08-20 |
| 1083627087 | Kishore Internal Medicine, Psc | Internal Medicine | 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962-6353 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| 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 |
|---|---|---|---|---|
| 1154740629 | Elizabeth Bergamini | Pediatrics | 1511 Ploma Dr, Manchester, MO 63021-7048 | 2014-04-14 |
| 1386652576 | Frank Joseph Bush | Pediatrics | 27 Hilliard St, Manchester, CT 06042-3001 | 2006-08-03 |
| 1336177633 | Glenn Koehler | Pediatrics | 192 Main St, Manchester, CT 06042-3581 | 2006-06-28 |
| 1104894708 | Mahendra Singh Panesar | Pediatrics | Pediatric Health Associates, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-03-09 |
| 1861483489 | Elliot Physicians Network | Pediatrics | 275 Mammoth Rd Ste 1, Pediatric Health Associates, Manchester, NH 03109-4133 | 2005-11-02 |
| 1487644829 | Donald E. Salvatore | Pediatrics | 275 Mammoth Road, Suite 2, Manchester, NH 03109 | 2005-10-26 |
| 1912997396 | Elliot Physicians Network | Pediatrics | 275 Mammoth Rd Ste 2, Doctors Park Pediatrics, Manchester, NH 03109-4133 | 2005-10-26 |
| 1629061965 | Swathanthra Kumar Melekote | Pediatrics | 130 Hartford Rd, Manchester, CT 06040-5921 | 2005-08-23 |
| 1639684293 | Brooke Leary | Pediatrics | 1 Elliot Way, Manchester, NH 03103-3502 | 2017-12-05 |
| 1881058923 | Katherine E Wentworth | Pediatrics | 1 Elliot Way, Manchester, NH 03103-3502 | 2016-04-05 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
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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.