DR. SAMER RIDA KALAKISH (NPI# 1093999385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093999385 |
| Entity Type | Individual |
| Full Name | DR. SAMER RIDA KALAKISH |
| Credential | M.D. |
| Practice Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2707815111 |
| Practice Fax Number | 2707800498 |
| Mailing Telephone | 2707815111 |
| Mailing Fax Number | 2707800498 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2014-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 42866 | KY | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 121876 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000627329 | 01 |
| KY | MEDICARE RAILROAD | P00793920 | 01 |
| KY | 7100085210 | 05 |
| Street Address |
201 PARK ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800998 | David Anthony Bergamini | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-08 |
| 1578163770 | Southeast Anesthesia, Plc | Nurse Anesthetist, Certified Registered | 201 Park St, Bowling Green, KY 42101-1742 | 2020-10-27 |
| 1760096200 | Ryan Michael Beard | Physical Therapist | 201 Park St, Bowling Green, KY 42101-1708 | 2020-09-02 |
| 1881204162 | Kristian Patricia Lee | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-08-03 |
| 1184232548 | Amy Pendleton Brown | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-07-21 |
| 1346867223 | Caitlyn Elizabeth Riggs | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-06-26 |
| 1598304040 | Rachel Paige Houchen | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2020-01-02 |
| 1245875996 | Christie Finney | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2019-11-16 |
| 1164077988 | Jeremy Darnell | Physical Therapy Assistant | 201 Park St, Bowling Green, KY 42101-1742 | 2019-08-08 |
| 1790246130 | Jamie Powers | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821230046 | Center for Urological Treatment, Plc | Urology | 1325 Andrea Street, Suite 103, Bowling Green, KY 42104 | 2009-04-02 |
| 1346341062 | Clark Lewis Carthrae | Urology | 1227 Ashley Circle, Bowling Green, KY 42104-3383 | 2006-09-26 |
| 1902800998 | David Anthony Bergamini | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-08 |
| 1386071652 | Promedica Genito-urinary Surgeons LLC | Urology | 970 W Wooster St, Suite 129, Bowling Green, OH 43402-2643 | 2013-10-02 |
| 1598853830 | Eric Todd | Urology | 960 W Wooster St, Suite 101, Bowling Green, OH 43402-2644 | 2006-10-11 |
| 1316052673 | Manuel Low De La Serna | Urology | 960 W Wooster St, Suite 101, Bowling Green, OH 43402-2644 | 2006-08-20 |
| 1114962867 | Southern Kentucky Urology LLC | Urology | 1325 Andrea St, Suite 103, Bowling Green, KY 42104-5852 | 2006-06-17 |
| 1871542654 | J Roger Goodwin | Urology | 1325 Andrea St, Suite 201, Bowling Green, KY 42104-5852 | 2006-05-09 |
| 1588650758 | Matthew E Rutter | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-09-23 |
| 1073517066 | Mark E Bigler | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-08 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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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.