KENTUCKY GASTROENTEROLOGY PSC (NPI# 1093971541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093971541 |
| Entity Type | Organization |
| Organization Name | KENTUCKY GASTROENTEROLOGY PSC |
| Practice Address |
793 Eastern Byp Suite 216 Richmond KY 40475-2422 |
| Practice Telephone | 8596250900 |
| Practice Fax Number | 8596250995 |
| Mailing Telephone | 8596250900 |
| Mailing Fax Number | 8596250995 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | NADEEM A KHAN (OWNER) |
| Authorized Official Telephone | 8596250900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000579699 | 01 |
| KY | 64333818 | 05 |
| Street Address |
793 EASTERN BYP SUITE 216 |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008804 | Patricia Ann Barnwell | Internal Medicine | 793 Eastern Byp, Suite #206, Richmond, KY 40475-2422 | 2005-07-21 |
| 1568913994 | Baptist Healthcare System, Inc. | Pharmacy | 793 Eastern Byp, Ste G-1, Richmond, KY 40475 | 2016-10-20 |
| 1144663311 | Baptist Physicians Lexington, Inc | Nurse Practitioner | 793 Eastern Byp, Suite 201, Richmond, KY 40475-2422 | 2013-04-08 |
| 1255604328 | Baptist Physicians Lexington, Inc | Physician Assistant | 793 Eastern Byp, Suite 106, Richmond, KY 40475-2422 | 2012-02-20 |
| 1700180841 | Kenney C Yoder | Nurse Practitioner | 793 Eastern Byp, Suite 201, Richmond, KY 40475-2422 | 2011-01-04 |
| 1790096378 | Baptist Physicians Lexington Inc | Internal Medicine | 793 Eastern Byp, Suite 106, Richmond, KY 40475-2422 | 2010-06-29 |
| 1316277395 | Jennifer Butler Carman | Psychologist | 793 Eastern Byp, Suite 208, Richmond, KY 40475-2422 | 2010-01-13 |
| 1700028016 | Margaret Katherine Harris | Psychologist | 793 Eastern Byp, Suite 208, Richmond, KY 40475-2422 | 2009-04-01 |
| 1497941413 | Kristin Elaine Majors Moore | Surgery | 793 Eastern Byp, Suite 213, Richmond, KY 40475-2422 | 2007-09-24 |
| 1356547491 | Muhammad H Iqbal | Internal Medicine | 793 Eastern Byp, Suite 216, Richmond, KY 40475-2422 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750739009 | Omer Shahab | Internal Medicine | Vcuhs Dept of Medicine Gastroenterology 980257, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-05-27 |
| 1578858155 | Mohammad Shadab Siddiqui | Internal Medicine | 1200 E. Broad Street, West Hospital, 14th Floor, Richmond, VA 23298 | 2011-06-13 |
| 1326350570 | Ben Persons Bradenham Jr. | Internal Medicine | 7611 Forest Ave Ste 410, Richmond, VA 23229-4946 | 2010-07-03 |
| 1306083696 | Andy Thanjan | Internal Medicine | 5855 Bremo Rd Ste 706, Richmond, VA 23226-1926 | 2009-01-08 |
| 1093854010 | Nitesh Vachhani | Internal Medicine | 1601 Main St Ste 401, Richmond, TX 77469-3244 | 2007-02-06 |
| 1639252109 | Robert E Mitchell IIi | Internal Medicine | 7605 Forest Ave Ste 211, Richmond, VA 23229-4940 | 2006-10-20 |
| 1144332727 | Wiley J Latham Md and Bernice G Latham Md Partners | Internal Medicine | 505 West Leigh St, Suite 301, Richmond, VA 23220 | 2006-08-31 |
| 1447271952 | Constantinos Adamantios Rozos | Internal Medicine | 4012 W Franklin St, Richmond, VA 23221-1106 | 2006-07-21 |
| 1942234497 | William Michael Pandak Jr. | Internal Medicine | Veterans Affairs Medical Center and Va Commonwealth U, Division of Gastroenterology,111-n, 1201 Broadrock Blvd, Richmond, VA 23249-0001 | 2006-07-10 |
| 1427093152 | Shweta Nagendra Joshi | Internal Medicine | 1630 Wilkes Ridge Pkwy Ste 202, Richmond, VA 23233-7460 | 2006-06-17 |
| Find all providers in RICHMOND | ||||
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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.