CASEY COUNTY PRIMARY CARE NURSING GROUP (NPI# 1982876173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982876173 |
| Entity Type | Organization |
| Organization Name | CASEY COUNTY PRIMARY CARE NURSING GROUP |
| Practice Address |
187 Wolford Ave Liberty KY 42539-3278 |
| Practice Telephone | 6067878348 |
| Practice Fax Number | 6067879717 |
| Mailing Telephone | 6067878348 |
| Mailing Fax Number | 6067879717 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | REX A TUNGATE (CEO, ADMINISTRATOR) |
| Authorized Official Telephone | 2703844753 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASEY COUNTY HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7890229300 | 05 |
| Street Address |
187 WOLFORD AVE |
| City | LIBERTY |
| State | KY |
| Zip Code | 42539-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467422253 | Housam I Haddad | Internal Medicine | 187 Wolford Ave, Liberty, KY 42539-3187 | 2006-01-24 |
| 1740726397 | Britni Barnett | Nurse Practitioner | 187 Wolford Ave, Liberty, KY 42539-3278 | 2017-01-06 |
| 1285909788 | Housam I Haddad Medical Practice, Pllc | Internal Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2012-03-15 |
| 1801063615 | Casey County Hospital District | Clinical Medical Laboratory | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-05-12 |
| 1588837223 | Casey County Hospital District | Family Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-04-02 |
| 1982876777 | Michael S Sloane | Physical Therapist | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-04-01 |
| 1619147832 | Casey County Hospital District | Family Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2008-03-04 |
| 1649454067 | Casey County Hospital District | Family Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2007-12-20 |
| 1518141043 | Casey County Hospital District | Medicare Defined Swing Bed Unit | 187 Wolford Ave, Liberty, KY 42539-3278 | 2007-12-19 |
| 1861574451 | John Robert Smart IIi | Family Medicine | 187 Wolford Ave, Liberty, KY 42539-3278 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1134314230 | Cundiff Family Chiropractic, Psc | Chiropractor | 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 | 2007-09-11 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1568596286 | Back and Body Chiropractic Center Inc. | Chiropractor | 69 Hustonville Street, Liberty, KY 42539 | 2007-03-15 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1740331537 | Sheila Ann Ping | Speech-Language Pathologist | 7235 Thomas Ridge Road, Liberty, KY 42539 | 2007-01-16 |
| Find all providers in zip 42539 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653306 | Ashley Pence Wilson | Nurse Practitioner | 1105 Jackson Ct, Liberty, MO 64068-3372 | 2020-06-14 |
| 1417503186 | Susan Mwirigi Gunn | Nurse Practitioner | 1021 Bob White Ln, Liberty, MO 64068-7427 | 2019-08-17 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1730566175 | John Mason Douglas | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2015-05-06 |
| 1700221413 | Sukhdeep Johal | Nurse Practitioner | 1901 W Kansas St # Mo001, Liberty, MO 64068-2060 | 2013-05-08 |
| 1215272166 | Ruth Teague | Nurse Practitioner | 2718 N Main St, Liberty, TX 77575-3909 | 2012-12-04 |
| 1376805499 | Caroline E Baugess | Nurse Practitioner | 504 N Greensboro St, Liberty, NC 27298-2601 | 2012-06-14 |
| 1326308636 | Tracy Mathews Allen | Nurse Practitioner | 1343 County Road 2005, Liberty, TX 77575-8709 | 2012-05-21 |
| 1770721003 | Cheryl Jean Wells | Nurse Practitioner | 129 S Fayetteville St, Liberty, NC 27298-3200 | 2009-01-23 |
| 1730373309 | M Therese Sellers | Nurse Practitioner | 109 N Blue Jay Dr, Liberty, MO 64068-1906 | 2007-08-28 |
| Find all providers in LIBERTY | ||||
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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.