KEVIN T SCULLY (NPI# 1083655708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083655708 |
| Entity Type | Individual |
| Full Name | KEVIN T SCULLY |
| Credential | M.D. |
| Practice Address |
1720 Nicholasville Rd Suite 601 Lexington KY 40503-1475 |
| Practice Telephone | 8592775887 |
| Practice Fax Number | 8592767638 |
| Mailing Telephone | 8592775887 |
| Mailing Fax Number | 8592767638 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
22190 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 6422190600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770978363 | Kevin James Scully | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2015-04-01 |
| 1730199563 | Kevin P Scully | Physician Assistant | 6210 S Broadway Ave, Tyler, TX 75703-4413 | 2006-08-08 |
| 1114983772 | Kevin S Scully | Orthopaedic Surgery | 2716 Ashton Dr, Wilmington, NC 28412-2489 | 2006-04-24 |
| Street Address |
1720 NICHOLASVILLE RD SUITE 601 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-1475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179484 | John J Gohmann | Internal Medicine | 1720 Nicholasville Rd, Suite 701, Lexington, KY 40503-1404 | 2005-07-22 |
| 1275167876 | Stephen P Schmelzer | Nurse Anesthetist, Certified Registered | 1720 Nicholasville Rd, Lexington, KY 40503-1404 | 2020-02-24 |
| 1104334184 | Shasta Cecil | Nurse Practitioner | 1720 Nicholasville Rd, Lexington, KY 40503-1404 | 2018-01-12 |
| 1194265827 | Matthew Kuhl | Nurse Practitioner | 1720 Nicholasville Rd, Suite 500, Lexington, KY 40503-1404 | 2017-02-28 |
| 1477002335 | Kassie Popp | Nurse Practitioner | 1720 Nicholasville Rd, Suite 601, Lexington, KY 40503-1404 | 2016-10-03 |
| 1932656956 | Lori Hazelwood | Physician Assistant | 1720 Nicholasville Rd, Suite 502, Lexington, KY 40503-1404 | 2016-09-07 |
| 1932552197 | Sabrina Tucker | Nurse Practitioner | 1720 Nicholasville Rd, Suite 702, Lexington, KY 40503-1404 | 2016-07-22 |
| 1568818946 | Cristina Elena Mcgrannahan | Physician Assistant | 1720 Nicholasville Rd, Suite 601, Lexington, KY 40503-1404 | 2016-05-04 |
| 1871948976 | Kristy Salley | Nurse Practitioner | 1720 Nicholasville Rd, 601, Lexington, KY 40503-1404 | 2016-04-27 |
| 1609270388 | Nicole Clevinger | Nurse Practitioner | 1720 Nicholasville Rd, Suite 601, Lexington, KY 40503-1404 | 2014-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1699116814 | Jimmarck Perel Castisimo Cuenta | Internal Medicine | 144 Forest Hill Rd Ste 144&146, Lexington, NC 27295 | 2013-07-16 |
| 1972842201 | Francis Attah Benn | Internal Medicine | 900 S Limestone Ctw 326, Lexington, KY 40536-3609 | 2013-02-06 |
| 1578827630 | Ahmad Ramy Elashery | Internal Medicine | 900 S Limestone St Ctw 326, Lexington, KY 40536-5805 | 2012-07-03 |
| 1962730499 | Emma J Birks | Internal Medicine | Uk Gill Heart Institute, 800 Rose St, Lexington, KY 40536-0294 | 2009-11-20 |
| 1083850069 | Forsyth Medical Group, LLC | Internal Medicine | 208 W Center St Ste B, Lexington, NC 27292-3046 | 2008-12-23 |
| 1740444520 | Charles R. Salters Jr. | Internal Medicine | 900 S Limestone Ctw 324, Lexington, KY 40536-0200 | 2008-07-11 |
| 1356515142 | Damien Maxfield Marycz | Internal Medicine | Graduate Medical Education 800 Rose Street, Lexington, KY 40536-0001 | 2008-04-14 |
| 1518181239 | Ahmed Abdel-latif | Internal Medicine | Gill Heart Institute University of Kentucky, 800 Rose Street, Ste. G100, Lexington, KY 40536-0001 | 2007-04-12 |
| 1114070422 | Bruce H Coyer | Internal Medicine | 114 Pasadena Dr, Lexington, KY 40503-2907 | 2007-01-19 |
| 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.