DR. JERRY ROGER HERSEY (NPI# 1073703336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073703336 |
| Entity Type | Individual |
| Full Name | DR. JERRY ROGER HERSEY |
| Credential | M.D., PH.D. |
| Practice Address |
2517 Bridle Ct Lexington KY 40504-1619 |
| Practice Telephone | 8592214088 |
| Mailing Telephone | 8592214088 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2008-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 40615 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
2517 BRIDLE CT |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649775586 | Landmark Medical of Kentucky, Psc | General Practice | 113 Glenn Pl Unit 100, Lexington, KY 40505-3518 | 2018-03-23 |
| 1962816991 | Brittney Dudley | General Practice | 800 Rose Street C 246, Lexington, KY 40536-0001 | 2014-06-18 |
| 1902223431 | William Bennett | General Practice | 319 Saxony Ct, Lexington, SC 29072-7957 | 2014-03-21 |
| 1245583236 | Lynnell Dupont | General Practice | 690 Mason Headley Rd Apt 210, Lexington, KY 40504-2337 | 2012-10-16 |
| 1437401957 | Mh Health Care Services, PC | General Practice | 740 W New Circle Rd, C/o Lexmark Health Center, Lexington, KY 40511-1806 | 2012-10-08 |
| 1548558489 | Dora Edith Hahn | General Practice | 1 Windy Ridge Ln, Lexington, SC 29073-8964 | 2011-07-13 |
| 1619195195 | Michael Shawn Houston | General Practice | Hwy 39, Lexington, OK 73051 | 2007-04-23 |
| 1629132345 | Avtar Robert Moore | General Practice | 9 N Randolph St, Lexington, VA 24450-2507 | 2006-12-20 |
| 1063434538 | John Mullins | General Practice | 2251 War Admiral Way, Suite 125, Lexington, KY 40509 | 2006-07-24 |
| 1962453530 | Mark S Weis | General Practice | 100 Trade St, Ste C, Lexington, KY 40511-2610 | 2006-05-16 |
| Find all providers in LEXINGTON | ||||
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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.