JERROD T MCCARTY (NPI# 1922414911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922414911 |
Entity Type | Individual |
Full Name | JERROD T MCCARTY |
Credential | MD |
Practice Address |
440 Hopkinsville St Greenville KY 42345-1124 |
Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
Practice Telephone | 2703388392 |
Practice Fax Number | 2703388585 |
Mailing Telephone | 2706881330 |
Mailing Fax Number | 2706881338 |
Enumeration Date | 2014-07-10 |
Last Update Date | 2019-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
51529 | KY | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
51529 | KY | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100382040 | 05 |
Street Address |
440 HOPKINSVILLE ST |
City | GREENVILLE |
State | KY |
Zip Code | 42345-1124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508822925 | Vincent Paul Genovese | Orthopaedic Surgery | 440 Hopkinsville St, Suite 2e, Greenville, KY 42345-1124 | 2006-04-25 |
1689291577 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2020-06-26 |
1598382442 | Meredith Leigh Harkins | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2020-06-26 |
1780238899 | Matthew Oakley | Pharmacist | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2019-07-26 |
1043863509 | Owensboro Health Medical Group, Inc. | Pain Medicine | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2019-07-23 |
1013492362 | Monica Denise Noe | Registered Nurse | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2018-10-02 |
1265922447 | George Michael Garrett | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345 | 2018-05-14 |
1942729116 | Aric Stephen Trent | Dietitian, Registered | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2017-09-19 |
1073048781 | Owensboro Health Medical Group, Inc. | Physician Assistant | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2017-05-01 |
1275071383 | Katie W. Watkins | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2017-02-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669607917 | Felicia Wells | Speech-Language Pathologist | 515 Greene Drive, Greenville, KY 42345 | 2009-05-15 |
1992968085 | Roberta A Shelton | Occupational Therapist | 515 Green Drive, Greenville, KY 42345 | 2008-07-08 |
1659547503 | Kellyn Jones | Counselor | 506 W. Hopkinsville St, Greenville, KY 42345 | 2008-05-01 |
1922134956 | Guinn Shaw Cost Jr. | Family Medicine | 132 Sara's Lane, Greenville, KY 42345 | 2007-02-26 |
1205883949 | Katharine S Cox | Emergency Medicine | 504 Hopkinsville St, Greenville, KY 42345 | 2006-05-28 |
1376088930 | Community Health Centers of Western Kentucky Inc | Social Worker | 226 Hopkinsville St, Greenville, KY 42345 | 2017-01-05 |
1477726354 | Eliza Joyce Whitten-hoskins | Pediatrics | 504 Hopkinsville St, Greenville, KY 42345 | 2008-04-10 |
1609978899 | Slobodan B Jugo | Otolaryngology | 300 Medical Plaza, Greenville, KY 42345 | 2006-09-01 |
1801047808 | Dagamac Enterprises LLC | Clinic/Center | 441 Hopkinsville St, Greenville, KY 42345-1101 | 2008-10-08 |
1891006730 | Welborn Family Practice | Nurse Practitioner | 441 Hopkinsville St, Greenville, KY 42345-1101 | 2010-06-25 |
Find all providers in zip 42345 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366463036 | John Russell Satterthwaite | Pain Medicine | 220 Roper Mountain Road Ext, Greenville, SC 29615-4825 | 2006-07-21 |
1063476604 | Lisa Ann Pullum | Pain Medicine | 6896 South Greenville Rd, Ste 100, Greenville, MI 48838 | 2006-04-12 |
1295159705 | Piedmont Comprehensive Pain Management Group LLC | Pain Medicine | 3 Saint Francis Dr, Suite 480, Greenville, SC 29601-3971 | 2014-02-05 |
1912253725 | Interventional Pain Management Associates, LLC | Pain Medicine | 21 Brendan Way, Greenville, SC 29615-3514 | 2012-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
1346766441 | Integrated Pain Management of Kentucky LLC | Pain Medicine | 210 Thomas More Pkwy Ste B, Crestview Hills, KY 41017-3429 | 2017-08-21 |
1578981718 | Restore Rehabilitation | Pain Medicine | 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 | 2014-04-04 |
1508201898 | Center for Pain Management | Pain Medicine | 440 B High St, Bowling Green, KY 42101 | 2013-05-01 |
1689994154 | Cumberland Brain and Spine, Pllc | Pain Medicine | 1641 Scottsville Rd, Bowling Green, KY 42104-3244 | 2010-06-08 |
1235358243 | Gary L Reasor, Md P.s.c | Pain Medicine | 4121 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | 2007-04-25 |
1407995517 | Cassari Pain Treatment Center Inc | Pain Medicine | 4010 Dupont Circle #430, Louisville, KY 40207 | 2007-02-05 |
1922186378 | Tri-state Advanced Pain Management Pllc | Pain Medicine | 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 | 2006-11-02 |
1164518080 | David P Bosomworth II | Pain Medicine | 279 Kings Daughters Dr Ste 100, Frankfort, KY 40601 | 2006-10-05 |
1639263338 | Bluegrass Pain Management, Psc | Pain Medicine | 1760 Nicholasville Road, Suite 503, Lexington, KY 40503 | 2006-10-03 |
Find all providers with the same taxonomy |
City | GREENVILLE |
Zip Code | 42345 |
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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.