David Shraberg (NPI# 1902816010, PAC ID# 4789662966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1902816010 |
| PAC ID by PECOS | 4789662966 |
| Professional Enrollment ID | I20040713000910 |
| Full Name | David Shraberg |
| Organization Legal Name | RIDGE OUTPATIENT COUNSELING, LLC |
| Address |
3046 Rio Dosa Dr Suite 114 Lexington KY 40509-1540 |
| Phone Number | 8592686475 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | NEUROLOGY |
| Group Practice PAC ID | 5991690471 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3046 Rio Dosa Dr, Suite 114, Lexington, KY 40509-1540 | 8592686475 | RIDGE OUTPATIENT COUNSELING, LLC |
| Organization Legal Name | RIDGE OUTPATIENT COUNSELING, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan L Bartley | Nurse Practitioner | Ridge Outpatient Counseling, LLC | 3046 Rio Dosa Dr, Suite 114, Lexington, KY 40509-1540 |
| Michael J Rieser | Psychiatry | Ridge Outpatient Counseling, LLC | 3046 Rio Dosa Dr, Suite 114, Lexington, KY 40509-1540 |
| Jackie Stethem | Nurse Practitioner | Ridge Outpatient Counseling, LLC | 3046 Rio Dosa Dr, Suite 114, Lexington, KY 40509-1540 |
| Jean Stodghill | Nurse Practitioner | Ridge Outpatient Counseling, LLC | 3046 Rio Dosa Dr, Suite 114, Lexington, KY 40509-1540 |
| Street Address |
3046 RIO DOSA DR SUITE 114 |
| City | LEXINGTON |
| State | KY |
| Zip | 40509-1540 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan L Bartley | Nurse Practitioner | Ridge Outpatient Counseling, LLC | 3046 Rio Dosa Dr, Suite 114, Lexington, KY 40509-1540 |
| Michael J Rieser | Psychiatry | Ridge Outpatient Counseling, LLC | 3046 Rio Dosa Dr, Suite 114, Lexington, KY 40509-1540 |
| Jackie Stethem | Nurse Practitioner | Ridge Outpatient Counseling, LLC | 3046 Rio Dosa Dr, Suite 114, Lexington, KY 40509-1540 |
| Jean Stodghill | Nurse Practitioner | Ridge Outpatient Counseling, LLC | 3046 Rio Dosa Dr, Suite 114, Lexington, KY 40509-1540 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly G Broderson | Clinical Social Worker | University of Kentucky | 245 Fountain Court, Lexington, KY 40509 |
| Jessica S Pettigrew | Clinical Social Worker | University of Kentucky | 245 Fountain Court, Lexington, KY 40509 |
| Corey C Thomas | Nurse Practitioner | University of Kentucky | 245 Fountain Court, Lexington, KY 40509 |
| Peter J Gager | Clinical Psychologist | University of Kentucky | 245 Fountain Court, Lexington, KY 40509 |
| Kathryn Grace Robbins | Optometry | 1555 E New Circle Rd, Suite 146, Lexington, KY 40509-1044 | |
| Kristina Paige Cassmeyer | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 3470 Blazer Pkwy, Suite 150, Lexington, KY 40509-1078 |
| Coutney P Schnieders | Internal Medicine | Baptist Health Medical Group Inc | 2801 Palumbo Dr, Suite 200, Lexington, KY 40509-1317 |
| Brittany L Colston | Physical Therapy | Bbn Physical Therapy, Inc | 162 Old Todds Rd, Suite 260, Lexington, KY 40509-1340 |
| Kristopher Wayne Winders | Physical Therapy | Bbn Physical Therapy, Inc | 162 Old Todds Rd, Suite 260, Lexington, KY 40509-1340 |
| Jon Smorol | Physical Therapy | Bbn Physical Therapy, Inc | 162 Old Todds Rd, Suite 260, Lexington, KY 40509-1340 |
| Find all physicians in zip 40509 | |||
| City | LEXINGTON |
| Zip Code | 40509 |
| Specialty | PSYCHIATRY |
| City + Specialty | LEXINGTON + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.