ACCESS MED (NPI# 1053967182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053967182 |
| Entity Type | Organization |
| Organization Name | ACCESS MED |
| Practice Address |
642 E Lexington Ave Danville KY 40422-1719 |
| Mailing Address |
535 Wellington Way Ste 330 Lexington KY 40503-1331 |
| Practice Telephone | 8592092269 |
| Practice Fax Number | 8592092396 |
| Mailing Telephone | 8594390400 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | MR. PHILLIP A WILLIFORD (MANAGING MEMBER) |
| Authorized Official Telephone | 8594390400 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | Y |
| Parent Organization Name | ACCESS MED, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Access Med Danville | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | ACCESS MEDIA 3 | 900 Commerce Drive, Suite 200, Oak Brook, IL 60523 |
| Virginia Business Entities | Access Media 3 Inc. | 900 Commerce Drive, Suite 200, Oak Brook, Illinois 60523 |
| Iowa Business Entities | ACCESS MEDIA 3, INC. | 900 Commerce Drive, Suite 200, Oak Brook, IL 60523 |
| Connecticut Business Registrations | ACCESS MEDIA 3, INC. | 900 Commerce Drive, Suite 200, Oak Brook, IL 60523 |
| Washington State Corporations | ACCESS MEDIA 3, INC. | 711 Capitol Way S Ste 204, Olympia, WA 98501 |
| Colorado Business Entities | Access Media 3, Inc. | 900 Commerce Drive, Suite 200, Oak Brook, IL 60523 |
| New York State Corporations | ACCESS MEDIA 3, INC. | 28 Liberty St., New York, Ny 10005 |
| Indiana Business Entities | ACCESS MEDIA 3, INC. | 900 Commerce Dr, Ste 200, Oak Brook, IL 60523 |
| New York State Corporations | ACCESS MEDIA FREEDOM INC. | 6805 Fort Hamilton Parkway, Brooklyn, Ny 11219 |
| New York State Corporations | ACCESS MEDIA GROUP, INC. | 249 Riveredge Road, Tenafly, Nj 07670 |
| Street Address |
642 E LEXINGTON AVE |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780177618 | Access Med, Pllc | Clinic/Center | 642 E Lexington Ave, Danville, KY 40422-1719 | 2018-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431648 | Selena Michelle Richert | Family Medicine | 24359 Orange Hill Rd, Danville, OH 43014-9647 | 2019-11-15 |
| 1114309267 | Yi Ding | Family Medicine | 800 Memorial Dr Ste D, Danville, VA 24541-1680 | 2015-06-25 |
| 1285026062 | Kavita Tripathi | Family Medicine | 125 Executive Dr Ste H, Danville, VA 24541-4155 | 2015-03-03 |
| 1194139519 | Randy Michael Chan | Family Medicine | 109 Bridge St Ste 201, Danville, VA 24541-1222 | 2014-06-13 |
| 1225476120 | Natalie Alexander | Family Medicine | 201 South Main St., Suite 3200, Danville, VA 24541-2922 | 2013-06-13 |
| 1033472683 | Bayview Family Clinic - Danville | Family Medicine | 3595 N Vermilion St, Danville, IL 61832-1337 | 2012-06-19 |
| 1326322736 | Family Practice Medical Center | Family Medicine | 511 W. Fairchild Street, Danville, IL 61832 | 2011-10-04 |
| 1750566162 | Bashirahmed M Ameji | Family Medicine | 3820 East Main Street, Danville Correctional Center Medical Department, Danville, IL 61834-5796 | 2008-01-03 |
| 1134314602 | Provena Service Corporation | Family Medicine | 405 Sheridan St, Danville, IL 61832-4451 | 2007-09-07 |
| 1376743278 | Michael R Rousse | Family Medicine | 1301 Stannard Mtn Rd, Danville, VT 05828-4417 | 2007-07-19 |
| Find all providers in DANVILLE | ||||
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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.