CARSON BLACK LUNG CENTER OF PINEVILLE, INC.


Address: 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452
Phone: 6063373051

CARSON BLACK LUNG CENTER OF PINEVILLE, INC. (NPI# 1083192595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083192595
Entity Type Organization
Organization Name CARSON BLACK LUNG CENTER OF PINEVILLE, INC.
Other Organization Name THE CARSON CLINIC
Practice Address 820 Robert L. Maddon Bypass Third Fl
Pineville
KY 40977-1452
Mailing Address Po Box 188
Pineville
KY 40977-0188
Practice Telephone 6063373051
Mailing Telephone 6062440480
Mailing Fax Number 6062440999
Enumeration Date 2018-08-06
Last Update Date 2020-09-14
Authorized Official Name MR. RODNEY TERRY (CHIEF OPERATING OFFICER)
Authorized Official Telephone 6062440480
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
N 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OWCP 627952600 01

Other Provider/Organization Names

Other Name Type Code
The Carson Center Doing Business As Name - Organization
The Carson Clinic Doing Business As Name - Organization

Office Location

Street Address 820 ROBERT L. MADDON BYPASS THIRD FL
City PINEVILLE
State KY
Zip Code 40977-1452

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669072757 Arh Mary Breckinridge Health Services, Inc. Clinic/Center 302 Walnut Street, Pineville, KY 40977 2020-10-28
1780217794 Family Health Care Associates 5 Limited Liability Company Clinic/Center 74 H&b Partin Lane, Pineville, KY 40977 2020-02-18
1033600416 Southeast Family Practice Psc Nurse Practitioner 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 2018-05-22
1265971709 Matthew Scott Powers Physical Therapist 103 Pine St., Pineville, KY 40977 2017-02-16
1316343130 Lenn Neal Counselor 62 Phil Gibson Rd, Pineville, KY 40977 2014-11-05
1508092040 Walgreen Co. Durable Medical Equipment & Medical Supplies 528 W Tennessee Ave., Pineville, KY 40977 2009-06-10
1477710770 Jimmie Howard Physical Therapy Assistant Rt 1 Box 102, Pineville, KY 40977 2008-05-22
1932376175 Kenny D Maynes Occupational Therapist Us 25e South, Britthaven of Pineville, Pineville, KY 40977 2008-05-15
1487862991 Joanne D. Corum General Practice Rr 1 Box 173 Kingdom Come Parkway, Pineville, KY 40977 2007-05-18
1518171685 Vivian Elesa Lasley Contractor Hwy 190 W, Reece Subdivision, Pineville, KY 40977 2007-05-09
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437700754 Yasinmd Pllc Internal Medicine 13304 Ridgemoor Dr, Prospect, KY 40059-7139 2019-09-27
1689232258 Methodist Health, Inc. Internal Medicine 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 2019-05-30
1841661410 Sleep Care Specialist of Louisville Internal Medicine 250 E Liberty St Ste 902, Louisville, KY 40202-1538 2015-10-08
1780926279 Inspired Medical Services, LLC Internal Medicine 9805 Brownsboro Rd, Suite 101, Louisville, KY 40241-1125 2013-03-22
1902146277 Ephraim Mcdowell Health Resource, Inc Internal Medicine 470 Linden Ave Ste 7, Harrodsburg, KY 40330 2013-02-25
1518275379 Matthew James Craig Internal Medicine 1225 S Broadway Ste 201, Lexington, KY 40504-2701 2010-09-15
1992969604 William Benjamin Cundiff Internal Medicine 110 Layman Ln, Elizabethtown, KY 42701-2523 2008-07-11
1124297361 Rejmon Dedaj Internal Medicine 2609 New Hartford Rd, Owensboro, KY 42303-1316 2008-02-21
1689758799 Srinivas M Ammisetty Internal Medicine 9350 Us Hwy 23 South, Suite 104, Stanville, KY 41659 2006-10-25
1790888683 Firas A Koura Internal Medicine 1138 Lexington Rd Ste 230, Georgetown, KY 40324-9672 2006-09-06
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Competitor

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City PINEVILLE
Zip Code 40977

Improve Information

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Dataset Information

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.

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