MESA INDIANA ED ASSOCIATES, LLC (NPI# 1003250473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003250473 |
| Entity Type | Organization |
| Organization Name | MESA INDIANA ED ASSOCIATES, LLC |
| Practice Address |
1792 Alysheba Way Suite 150 Lexington KY 40509-2288 |
| Practice Telephone | 8593359041 |
| Mailing Telephone | 8593359041 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | MARK VALENTINE (CFO) |
| Authorized Official Telephone | 8593359041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MESA INDIANA ED ASSOCIATES, LLC | 1792 Alysheba Way, Suite 150, Lexington, KY 40509 |
| Street Address |
1792 ALYSHEBA WAY SUITE 150 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423275 | Robert Swayze | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2006-03-31 |
| 1033632658 | Ryan Charles Vietmeier | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2017-07-25 |
| 1700259223 | Laura Elizabeth Williams | Physical Therapist | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2015-11-05 |
| 1144693656 | Austin Tiller | Physical Therapist | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2015-11-05 |
| 1700215720 | Tori Cloar Justice | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2013-11-12 |
| 1144562620 | Kandace Marie Wall | Nurse Practitioner | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2013-03-21 |
| 1063765865 | Todd Stuart Greene | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-10-18 |
| 1508114224 | Cara Clark Busler | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-08-28 |
| 1497017669 | Caitlyn Marie Jervis | Physician Assistant | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2012-06-13 |
| 1669744595 | Marshall West Virginia Hospitalist Associates, LLC | Internal Medicine | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083076145 | Slade Thompson | Emergency Medicine | 800 Rose St University of Kentucky, Lexington, KY 40536-7001 | 2016-03-27 |
| 1285096834 | Michael Gleason | Emergency Medicine | 859.323 5083, 800 Rose St M-53, Lexington, KY 40536-0298 | 2016-03-23 |
| 1659786291 | Kristine Song | Emergency Medicine | 800 Rose St # M-53, Lexington, KY 40536 | 2014-06-23 |
| 1952640807 | Doctors Care Sc, Pa | Emergency Medicine | 1847 S Lake Dr, Lexington, SC 29073-7759 | 2013-02-12 |
| 1013273853 | Andrew D Buckley | Emergency Medicine | 2032 Twain Ridge Dr, Lexington, KY 40514-1325 | 2012-04-05 |
| 1518250570 | Bruce Joseph Kostelnik | Emergency Medicine | 1857 Goodpaster Way, Lexington, KY 40505-9005 | 2011-05-24 |
| 1588953913 | Bradley Parker Buckingham | Emergency Medicine | 4016 Mooncoin Way, Lexington, KY 40515-6018 | 2011-04-06 |
| 1144528589 | Nashley Kyle Steele | Emergency Medicine | Ukcmc Gme, 800 Rose St., Hq-101, Lexington, KY 40536-0293 | 2011-03-09 |
| 1720309859 | Sama Ghali | Emergency Medicine | 1000 South Limestone Street, Lexington, KY 40536 | 2010-06-11 |
| 1336468883 | Joseph Sung-hyun Kim | Emergency Medicine | Chandler Medical Ctr Rm M-53, 800 Rose Street, Lexington, KY 40536-0298 | 2010-05-24 |
| Find all providers in LEXINGTON | ||||
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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.