DR. ELIAS PITARAS (NPI# 1104096239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104096239 |
Entity Type | Individual |
Full Name | DR. ELIAS PITARAS |
Credential | M.D. |
Practice Address |
1029 Medical Center Cir Mayfield KY 42066-1189 |
Practice Telephone | 2702514141 |
Practice Fax Number | 2702514522 |
Mailing Telephone | 2702514141 |
Mailing Fax Number | 2702514522 |
Enumeration Date | 2008-03-04 |
Last Update Date | 2013-01-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
41409 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100043080 | 05 |
Street Address |
1029 MEDICAL CENTER CIR |
City | MAYFIELD |
State | KY |
Zip Code | 42066-1189 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902868532 | Ruben Cuadrado | Internal Medicine | 1029 Medical Center Cir, Ste 306, Mayfield, KY 42066-1189 | 2006-04-06 |
1538615570 | Heather D Lyell | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2016-08-30 |
1710332523 | Bethanie M Apperson | Nurse Practitioner | 1029 Medical Center Cir, Suite 200 & Suite 401b, Mayfield, KY 42066-1189 | 2016-04-29 |
1144645441 | Sarah Wilson | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2014-02-23 |
1609217868 | Stone Family Practice Pllc | Nurse Practitioner | 1029 Medical Center Cir, 200, Mayfield, KY 42066-1189 | 2013-07-16 |
1093093254 | Jessica M Little | Podiatrist | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2011-07-21 |
1508178336 | Richard Darren Stone | Family Medicine | 1029 Medical Center Cir, 200, Mayfield, KY 42066-1189 | 2010-07-09 |
1881927770 | Puneet Bhatia | Orthopaedic Surgery | 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066-1189 | 2009-09-10 |
1194959676 | Advanced Foot and Ankle Clinic Pllc | Podiatrist | 1029 Medical Center Cir, Suite 308, Mayfield, KY 42066-1189 | 2009-05-12 |
1891939690 | Pinelake Physician Practice LLC | Internal Medicine | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2009-04-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
Find all providers in zip 42066 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1336314442 | Pinelake Physician Practices LLC | Internal Medicine | 1029 Medical Center Cir, Suite 200 A, Mayfield, KY 42066-1189 | 2008-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124665807 | Means Adult Primary Care Clinic of Kentucky Pllc | Internal Medicine | 1145 W Lexington Ave Fl 2, Winchester, KY 40391-1290 | 2019-12-02 |
1932587300 | Hopkinsville Kidney Care Pllc | Internal Medicine | 215 Burley Ave, Suite 2, Hopkinsville, KY 42240-8725 | 2015-05-18 |
1124419668 | Hardin County Primary Care Pllc | Internal Medicine | 912 Woodland Dr, Suite B, Elizabethtown, KY 42701-2795 | 2015-02-05 |
1245641307 | Mustafa S Mawih | Internal Medicine | 830 Thomas More Pkwy Ste 200, Edgewood, KY 41017-5103 | 2014-05-12 |
1174784466 | Jennifer Hughes Shuemaker | Internal Medicine | 720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 | 2008-06-19 |
1518138759 | Muhammad Irfan Atiq | Internal Medicine | 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504-1791 | 2008-03-16 |
1881874592 | Eastern Kentucky Kidney Care, Psc | Internal Medicine | 141 Weddington Branch Rd, Pikeville, KY 41501-3204 | 2007-11-09 |
1932398120 | Sujata Reddy, Md., Pllc | Internal Medicine | 930 Happy Valley Rd, Glasgow, KY 42141-1332 | 2007-10-24 |
1316136567 | Elisha Lancaster | Internal Medicine | 830 Thomas More Parkway, Ste 202, Edgewood, KY 41017 | 2007-10-23 |
1881887685 | Hania Kassem | Internal Medicine | 716 W. Broadway, Louisville, KY 40202-2216 | 2007-08-24 |
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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.