BULLITT COUNTY FAMILY CARE CENTER, PLLC (NPI# 1043253925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043253925 |
| Entity Type | Organization |
| Organization Name | BULLITT COUNTY FAMILY CARE CENTER, PLLC |
| Practice Address |
1578 Highway 44 East Suite 2 Shepherdsville KY 40165 |
| Mailing Address |
P.o. Box 1069 Shepherdsville KY 40165 |
| Practice Telephone | 5029555200 |
| Practice Fax Number | 5025435244 |
| Mailing Telephone | 5029555200 |
| Mailing Fax Number | 5025435244 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | CHARLOTTE KAY INGWERSEN (PRESIDENT) |
| Authorized Official Telephone | 5029555200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 32033 | KY | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64320336 | 05 |
| Street Address |
1578 HIGHWAY 44 EAST SUITE 2 |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073962874 | My Time Counseling Services for Professionals, P.l.l.c. | Preferred Provider Organization | 383 Sals Branch Rd, Evarts, KY 40828-6484 | 2016-06-13 |
| 1780096180 | Ez Tubz LLC | Preferred Provider Organization | 2207 Crums Ln, Louisville, KY 40216-4253 | 2014-05-20 |
| 1649317736 | Sunny Enterprise Inc | Preferred Provider Organization | 8700 Westport Rd # Su112, Louisville, KY 40242-3100 | 2007-01-30 |
| 1699842088 | Byers-abston Chiropractic, Psc | Preferred Provider Organization | 105 N. Lyndon Lane, Suite 102, Louisville, KY 40222-5550 | 2006-11-29 |
| 1831570399 | Loki Inc | Preferred Provider Organization | 10824 Us 23 South, Suite 102, Betsy Layne, KY 41605 | 2015-06-10 |
| 1558677377 | Dr James E Miller Psc | Preferred Provider Organization | 311 N 3rd St, Suite A, Richmond, KY 40475-1421 | 2010-08-31 |
| 1164661849 | Preferred Medical Bill Review LLC | Preferred Provider Organization | 309 Townepark Cir, Suite 100, Louisville, KY 40243-2333 | 2009-02-19 |
| 1629233911 | Anointed Touch Massage Therapy | Preferred Provider Organization | 934 Broadway St, Paducah, KY 42001-6810 | 2008-07-25 |
| 1013104470 | Radha Venkatramanan, Pllc | Preferred Provider Organization | 210 Burley Ave, Suite A, Hopkinsville, KY 42240-8725 | 2007-10-01 |
| 1578628392 | Light Psychiatric Services, Psc | Preferred Provider Organization | 13113 Eastpoint Park Blvd, Suite D, Louisville, KY 40223-4191 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
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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.