EAR, NOSE, THROAT PHYSICIANS OF EASTERN KY (NPI# 1073575825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073575825 |
| Entity Type | Organization |
| Organization Name | EAR, NOSE, THROAT PHYSICIANS OF EASTERN KY |
| Practice Address |
1330 S Mayo Trl Pikeville KY 41501-2321 |
| Mailing Address |
Po Box 2140 Pikeville KY 41502-2140 |
| Practice Telephone | 6064320111 |
| Practice Fax Number | 6064324272 |
| Mailing Telephone | 6064320111 |
| Mailing Fax Number | 6064324272 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SURI VANAN (MD) |
| Authorized Official Telephone | 6064320111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 34477 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BLUE CROSS | 000000219680 | 01 |
| WV | WV MEDICAID | 3810002865 | 01 |
| KY | 64344773 | 05 |
| Street Address |
1330 S MAYO TRL |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902262 | Physicians for Children & Adolescents Psc | Nurse Practitioner | 1330 S Mayo Trl, Suite 201, Pikeville, KY 41501-2321 | 2016-02-19 |
| 1396926911 | Associates Hearing, Inc | Audiologist | 1330 S Mayo Trl, Ste 302, Pikeville, KY 41501-2321 | 2007-11-26 |
| 1073634341 | Psychiatric Center Inc. | Clinical Nurse Specialist | 1330 S Mayo Trl, Nova Complex Suite 301, Pikeville, KY 41501-2321 | 2007-04-03 |
| 1093891665 | Barr-thorn Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 1330 S Mayo Trl, Suite 102, Pikeville, KY 41501-2321 | 2006-10-27 |
| 1881657054 | Rakesh Sachdeva | Pediatrics | 1330 S Mayo Trl, Suite 201, Pikeville, KY 41501-2321 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336450014 | Manosh Vongvises, M.d., Inc. | Otolaryngology | 419 Town Mountain Rd, Suite 104, Pikeville, KY 41501-1631 | 2010-06-28 |
| 1174713994 | William Patrick Hoskins | Otolaryngology | 911 Bypass Rd, 9th Floor Clinic, Pikeville, KY 41501-1689 | 2007-07-27 |
| 1053413179 | Manosh Vongvises | Otolaryngology | 419 Town Mountain Rd, Suite 104, Pikeville, KY 41501-1631 | 2006-09-01 |
| 1639171390 | Gregory V Hazelett | Otolaryngology | 911 Bypass Rd, 9th Floor Clinic, Pikeville, KY 41501-1689 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1891227666 | Kaitlin July O'brien | Otolaryngology | 740 South Limestone C 300, Lexington, KY 40536-0001 | 2017-03-31 |
| 1568993509 | Christopher Rayle | Otolaryngology | 800 Rose St Rm C-236, Lexington, KY 40536 | 2017-03-22 |
| 1598127094 | Nicole C Craker | Otolaryngology | University of Kentucky 800 Rose St Rm C-236, Lexington, KY 40536-3058 | 2016-03-23 |
| 1659755502 | Ryan Neff | Otolaryngology | 740 S Limestone; C300, Lexington, KY 40536-0293 | 2015-07-09 |
| 1396126017 | Adam Vanhorn | Otolaryngology | Uk Otolaryngology, 800 Rose Street Room C236, Lexington, KY 40536-0293 | 2015-06-18 |
| 1386057818 | Adiavni LLC | Otolaryngology | 280 Cumberland Trace Rd, Apt. 417, Bowling Green, KY 42103-9099 | 2014-06-02 |
| 1215366364 | Larry Joe Hall | Otolaryngology | 790 North Dixie Suite 800, Elizabethtown, KY 42701 | 2013-11-08 |
| 1710321963 | Caitlin Fiorillo | Otolaryngology | 740 South Limestone C300, Lexington, KY 40536-0001 | 2013-04-18 |
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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.