MT. STERLING PEDIATRICS (NPI# 1063650471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063650471 |
| Entity Type | Organization |
| Organization Name | MT. STERLING PEDIATRICS |
| Practice Address |
401 Commerce Circle Mt Sterling KY 40353-7815 |
| Practice Telephone | 8594985243 |
| Practice Fax Number | 8594985396 |
| Mailing Telephone | 8594985243 |
| Mailing Fax Number | 8594985396 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | BRANDY B FOUCH (OWNER) |
| Authorized Official Telephone | 8594985243 |
| Authorized Official Credential | M.D. |
| 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 | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5332P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | 39940 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100198270 | 05 |
| Street Address |
401 COMMERCE CIRCLE |
| City | MT STERLING |
| State | KY |
| Zip Code | 40353-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237798 | Nicole Teann Fossier | Developmental Therapist | 220 Blake Way, Mt. Sterling, KY 40353 | 2020-02-20 |
| 1215414578 | Emily Renee Nickell | Optometrist | 1 N Maysville Street, Mt. Sterling, KY 40353 | 2018-07-19 |
| 1366978538 | Regency Memory Care | Assisted Living Facility | 130 Sterling Way, Mount Sterling, KY 40353 | 2017-05-10 |
| 1760838452 | Tammy Mccarty Mccarty | Developmental Therapist | 104 Iroquois Drive, Mount Sterling, KY 40353 | 2016-05-11 |
| 1447660089 | Gateway Juvenile Diversion Project, Inc. | Clinic/Center | 37 North Maysville St, Mt Sterlig, KY 40353 | 2014-05-05 |
| 1508285024 | Natalie Spencer | Counselor | 37 North Maysville St., Mt. Sterling, KY 40353 | 2014-04-11 |
| 1316371925 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 709 Airport Rd, Mount Sterling, KY 40353 | 2013-08-30 |
| 1477999241 | Mckenzie S Grey | Physical Therapy Assistant | 624 North Maysville Ave, Mt Sterling, KY 40353 | 2013-05-20 |
| 1194066894 | Sterling Health Solutions, Inc | Pharmacy | 209 North Maysville St, Suite 200, Mt. Sterling, KY 40353 | 2013-03-06 |
| 1487930483 | Nathan Corey Rusher | Dentist | 635 N. Maysville St., Ste B, Mount Sterling, KY 40353 | 2011-10-24 |
| Find all providers in zip 40353 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417304981 | Kristina Joy Jayne | Pediatrics | 401 Commerce Cir, Mt Sterling, KY 40353-7815 | 2016-05-15 |
| 1912018433 | Brian Clifford Badger | Pediatrics | 401 Commerce Cir, Mt Sterling, KY 40353-7815 | 2006-08-31 |
| 1417967753 | Brandy Bromagen Fouch | Pediatrics | 401 Commerce Cir, Mt Sterling, KY 40353-7815 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1598384745 | Breckinridge Health Clinic | Pediatrics | 203b Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2020-04-08 |
| 1811533433 | Grace Community Health Center, Inc. | Pediatrics | 120 N Commonwealth Ave Ste 123&4, Corbin, KY 40701-6472 | 2019-11-19 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
| City | MT STERLING |
| Zip Code | 40353 |
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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.