DR. SANJOYDEB MUKHERJEE (NPI# 1033110317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033110317 |
| Entity Type | Individual |
| Full Name | DR. SANJOYDEB MUKHERJEE |
| Credential | MD |
| Practice Address |
1 Medical Village Dr Edgewood KY 41017-3403 |
| Mailing Address |
Po Box 18667 Erlanger KY 41018-0667 |
| Practice Telephone | 8595723617 |
| Practice Fax Number | 8595722326 |
| Mailing Telephone | 8595723617 |
| Mailing Fax Number | 8595722326 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 36056 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200916700 | 05 | |
| OH | 2594223 | 05 | |
| KY | 64057839 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Rose Street, Room M53, Lexington, KY 405360298 | 8593235908 | 8593238056 |
| Street Address |
1 MEDICAL VILLAGE DR |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477279 | Gregory Dean Sweeney | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-06-20 |
| 1497356182 | Mariah Gilbert | Registered Nurse | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-11-08 |
| 1730789132 | Bailey Hancock | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1831799220 | Caroline Ewart | Genetic Counselor, MS | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-27 |
| 1437756442 | Danielle Brauning | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-02 |
| 1649887944 | Ashleigh Eversole | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-30 |
| 1164037784 | Elizabeth Spray | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-10 |
| 1508470360 | Michael Lavoy | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-08-31 |
| 1114538519 | Carrie Nicole Anderson | Genetic Counselor, MS | 1 Medical Village Dr, Floor 3 - Mfm, Edgewood, KY 41017-4101 | 2020-08-11 |
| 1396354569 | Timothy Robert Mcintyre | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| 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 |
|---|---|---|---|---|
| 1417958349 | Holly G Danneman | Emergency Medicine | 413 S Loop Rd, Edgewood, KY 41017-3499 | 2005-08-02 |
| 1609877547 | Peter David Goodwin | Emergency Medicine | 580 S Loop Rd, Edgewood, KY 41017 | 2005-08-02 |
| 1669477279 | Gregory Dean Sweeney | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-06-20 |
| 1477084937 | Anne Ellise Flower | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2017-03-24 |
| 1306292115 | Michael Ross Lawson | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2016-05-11 |
| 1104288190 | David Aaron Habib | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2016-03-28 |
| 1275916603 | Rachel Helpling | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2015-07-02 |
| 1457731879 | Katelyn Adkins Banks | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017 | 2015-06-01 |
| 1386022390 | Balaji Nithianandam | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017 | 2015-05-11 |
| 1619385937 | Ian Scott Boyd | Emergency Medicine | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2014-07-30 |
| Find all providers in EDGEWOOD | ||||
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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.