PAUL CHRISTEN PEDERSEN (NPI# 1003892720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003892720 |
| Entity Type | Individual |
| Full Name | PAUL CHRISTEN PEDERSEN |
| Credential | M.D. |
| Practice Address |
602 Knox St Barbourville KY 40906-1304 |
| Mailing Address |
Po Box 1325 Corbin KY 40702-1325 |
| Practice Telephone | 6065466027 |
| Practice Fax Number | 6065462084 |
| Mailing Telephone | 6065268131 |
| Mailing Fax Number | 6065288661 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 31705 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64317050 | 05 | |
| KY | RR MEDICARE | P01427263 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609386168 | Paul Mcarthur Pedersen | Social Worker | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2017-10-10 |
| 1053403675 | Paul Pedersen | Internal Medicine | 1701 E College Ave, Bloomington, IL 61704-2101 | 2006-09-29 |
| Street Address |
602 KNOX ST |
| City | BARBOURVILLE |
| State | KY |
| Zip Code | 40906-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780170795 | Heather Renee Cloud | Nurse Practitioner | 602 Knox St, Barbourville, KY 40906-1304 | 2018-07-03 |
| 1184119398 | Baptist Health Medical Group Inc | Clinic/Center | 602 Knox St, Barbourville, KY 40906-1304 | 2018-06-29 |
| 1265820245 | Cynthia Goodin | Nurse Practitioner | 602 Knox St, Barbourville, KY 40906-1304 | 2014-12-29 |
| 1053540674 | Michelle Louise Broughton | Nurse Practitioner | 602 Knox St, Barbourville, KY 40906-1304 | 2009-07-02 |
| 1992832695 | Knox Family Medicine | Physical Therapist | 602 Knox St, Barbourville, KY 40906-1304 | 2007-02-28 |
| 1528138229 | Knox Family Medicine Psc | Dietitian, Registered | 602 Knox St, Barbourville, KY 40906-1304 | 2006-11-09 |
| 1942305156 | Susan M. Hodge | Physician Assistant | 602 Knox St, Barbourville, KY 40906-1304 | 2006-09-13 |
| 1275583262 | Kathleen P. Flynn | Physician Assistant | 602 Knox St, Knox Family Medicine, Barbourville, KY 40906-1304 | 2006-05-11 |
| 1710966411 | Gynger Marie Adams | Physical Therapist | 602 Knox St, Barbourville, KY 40906-1304 | 2006-01-11 |
| 1144206392 | James Radford West Jr. | Family Medicine | 602 Knox St, Barbourville, KY 40906-1304 | 2005-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187334 | Barbourville Prescription Center, LLC | Pharmacy | 1881 South U.S. Highway 25e, Barbourville, KY 40906 | 2020-02-28 |
| 1992368617 | Carolyn Disney Byble | Counselor | 1909 Hwy. 3439, Barbourville, KY 40906 | 2019-04-18 |
| 1386139111 | Amy Lynn Mills | Adult Companion | 12 Knox Plaza, Barbourville, KY 40906 | 2018-06-25 |
| 1457858250 | Angela Turner | Nurse Practitioner | 1927 Us S Hwy 25e, Barbourville, KY 40906 | 2018-04-09 |
| 1376049437 | Kalee Elizabeth Howard | Case Manager/Care Coordinator | 415 Highway 225, Barbourville, KY 40906 | 2018-04-05 |
| 1063949303 | Robin Renee Carr | Counselor | 415 Ky Hwy 225, Barbourville, KY 40906 | 2017-05-17 |
| 1770940736 | Jennifer Nicole James | Case Manager/Care Coordinator | 415 Ky 225, Barbourville, KY 40906 | 2016-01-21 |
| 1891116455 | Glenna Bargo | Nurse Practitioner | 728 S Us Highway 25e Loop Number 2, Loop Number 2, Barbourville, KY 40906 | 2013-12-30 |
| 1275883050 | Brian Keith Abner | Physician Assistant | 215 North Allison Avenue, Barbourville, KY 40906 | 2012-09-19 |
| 1558660944 | Sleep Diagnostics of Kentucky, Inc | Clinic/Center | 606a Knox Street, Barbourville, KY 40906 | 2011-03-24 |
| Find all providers in zip 40906 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649350505 | Larry Londis Parsons Jr. | General Practice | 215 Treuhaft Blvd, Barbourville, KY 40906-7361 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461171 | Christina Marie Shea Tobbe | General Practice | 1707 Cedar Grove Rd Ste 150, Shepherdsville, KY 40165-8572 | 2020-09-10 |
| 1689214454 | Superior Healthcare Pllc | General Practice | 7560 Us Highway 42 Ste B, Florence, KY 41042-1908 | 2020-01-09 |
| 1144876814 | You Only Live Once Medical | General Practice | 821 Ulrich Ave, Louisville, KY 40219-1844 | 2019-08-17 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| 1649775586 | Landmark Medical of Kentucky, Psc | General Practice | 113 Glenn Pl Unit 100, Lexington, KY 40505-3518 | 2018-03-23 |
| 1639603145 | Charita Weathers | General Practice | 401 East Chestnut, Ste 610, Louisville, KY 40202 | 2017-04-12 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1528519113 | A New Journey | General Practice | 4100 Cadillac Ct, Louisville, KY 40213-1591 | 2016-10-18 |
| 1013381441 | Veloz Medical Services Corp | General Practice | 6911 Shepherdsville Rd, Louisville, KY 40219-2211 | 2015-11-23 |
| 1407229545 | Fern Medical and Rehab Corp | General Practice | 5520 Fern Valley Rd, 107, Louisville, KY 40228-1087 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
| City | BARBOURVILLE |
| Zip Code | 40906 |
Please comment or provide details below to improve the information on PAUL CHRISTEN PEDERSEN.
| 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.