Holly Danneman (NPI# 1417958349, PAC ID# 6305733197) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417958349 |
| PAC ID by PECOS | 6305733197 |
| Professional Enrollment ID | I20040304000710 |
| Full Name | Holly Danneman |
| Organization Legal Name | ST ELIZABETH MEDICAL CENTER, INC |
| Address |
413 S Loop Rd Edgewood KY 41017-5446 |
| Phone Number | 8593013800 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648174623 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180035 | ST ELIZABETH EDGEWOOD |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Village Dr, Edgewood, KY 41017-3403 | 8592124468 | SUMMIT MEDICAL GROUP, INC. |
| 413 S Loop Rd, Edgewood, KY 41017-5446 | 8593013800 | ST ELIZABETH MEDICAL CENTER, INC |
| 4900 Houston Rd, Florence, KY 41042-4824 | 8592127700 | SUMMIT MEDICAL GROUP, INC. |
| Organization Legal Name | ST ELIZABETH MEDICAL CENTER, INC |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlin Marie Pielage | Nurse Practitioner | St Elizabeth Medical Center, Inc | 20 Medical Village Dr, Edgewood, KY 41017-5401 |
| James Hahn | Pediatric Medicine | St Elizabeth Medical Center, Inc | 10095 Investment Way, Suite 1, Florence, KY 41042-4746 |
| Karl M Schmitt | Family Medicine | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Victor Schmelzer | Cardiac Surgery | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Shannon K Bentley | Family Medicine | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Colleen Marie Darnell | Hematology/oncology | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Mary A Barnes | Family Medicine | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Jennifer L White | Nurse Practitioner | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Rasha Salama | Pathology | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Lauren Ashley Lenhoff | Nurse Practitioner | St Elizabeth Medical Center, Inc | 1 Medical Village Dr, Edgewood, KY 41017-3403 |
| Street Address |
413 S LOOP RD |
| City | EDGEWOOD |
| State | KY |
| Zip | 41017-5446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Vormbrock | Family Medicine | St Elizabeth Medical Center, Inc | 413 S Loop Rd, Edgewood, KY 41017-5446 |
| William L Stafford | Family Medicine | St Elizabeth Medical Center, Inc | 413 S Loop Rd, Edgewood, KY 41017-5446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Swafford | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Erina T Emerson | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Dawna M Kennedy | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Kelly Reitzes | Optometry | Wing Eyecare, Inc. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Paul T Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Jamie Daniels Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Gena Grigson | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Geraldine E Elliott | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Merle C Helgeson | Chiropractic | 570 Buttermilk Pike, Crescent Springs, KY 41017-1635 | |
| Monica K Sullivan | Family Medicine | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Find all physicians in zip 41017 | |||
| City | EDGEWOOD |
| Zip Code | 41017 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EDGEWOOD + FAMILY MEDICINE |
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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.