N THANNOLI PSC (NPI# 1962579136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962579136 |
| Entity Type | Organization |
| Organization Name | N THANNOLI PSC |
| Practice Address |
55 Thannoli Dr Somerset KY 42503 |
| Practice Telephone | 6066770854 |
| Practice Fax Number | 6066779311 |
| Mailing Telephone | 6066770854 |
| Mailing Fax Number | 6066779311 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | MR. NATARAJAN THANNOLI (PRESIDENT OWNER) |
| Authorized Official Telephone | 6066770854 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE GROUP | DF2752 | 01 |
| KY | BCBC GROUP # | 000000061076 | 01 |
| MEDICAID GROUP # | 65946147 | 01 |
| Street Address |
55 THANNOLI DR |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811973167 | Natarajan Thannoli | Internal Medicine | 55 Thannoli Dr, Somerset, KY 42503-2861 | 2005-12-19 |
| 1427578855 | Lori Dawn King | Nurse Practitioner | 55 Thannoli Dr, Somerset, KY 42503-2861 | 2017-06-27 |
| 1477898336 | Baptist Physicians Lexington, Inc. | Nurse Practitioner | 55 Thannoli Dr, Somerset, KY 42503-2861 | 2012-12-04 |
| 1295085272 | Baptist Physicians Lexington, Inc | Nurse Practitioner | 55 Thannoli Dr, Somerset, KY 42503-2861 | 2012-09-17 |
| 1588637961 | Ginger Renee Combs | Internal Medicine | 55 Thannoli Dr, Somerset, KY 42503 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568907996 | Jennifer C Wellings | Internal Medicine | 199 Pierce St Apt 422, Somerset, NJ 08873-1249 | 2016-12-20 |
| 1043407083 | Diwata V Somera | Internal Medicine | 1543 Route 27, Suite 14, Somerset, NJ 08873 | 2007-10-03 |
| 1225257199 | Chirag Shah | Internal Medicine | 1543 Lincoln Hwy, Suite 14, Somerset, NJ 08873-4015 | 2007-04-25 |
| 1326262429 | Capitol City Cardiology, Inc. | Internal Medicine | 301 Dr. Mike Clouse Dr, Somerset, OH 43783 | 2007-04-12 |
| 1063442002 | Somerset Cardiovascular Associates, P.C. | Internal Medicine | 223 S Pleasant Ave, Suite 401, Somerset, PA 15501-2183 | 2006-07-04 |
| 1366422644 | Robert William Cameron | Internal Medicine | 349 Bogle St, Suite B, Somerset, KY 42503-2895 | 2006-01-20 |
| 1811973167 | Natarajan Thannoli | Internal Medicine | 55 Thannoli Dr, Somerset, KY 42503-2861 | 2005-12-19 |
| 1447231626 | Ebere Maxwell Ugwanyi | Internal Medicine | 126 E Church St Ste 3100, Somerset, PA 15501-2274 | 2005-11-07 |
| 1851397574 | Pratik Patel | Internal Medicine | 51 Veronica Ave, Somerset, NJ 08873-3448 | 2005-06-27 |
| 1356347066 | Jack A Stroh | Internal Medicine | 75 Veronica Ave, Suite 101, Somerset, NJ 08873-5002 | 2005-06-27 |
| Find all providers in SOMERSET | ||||
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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.