DR. KELLY WINSTON FIFE (NPI# 1104990027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104990027 |
| Entity Type | Individual |
| Full Name | DR. KELLY WINSTON FIFE |
| Credential | M.D. |
| Practice Address |
110 3rd St Suite 180, Imperial Building Henderson KY 42420-2993 |
| Mailing Address |
2000 N Elm St Ste 1b Henderson KY 42420-2385 |
| Practice Telephone | 2708273573 |
| Practice Fax Number | 2708271250 |
| Mailing Telephone | 2708448144 |
| Mailing Fax Number | 2708448145 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01040820A | IN | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 22605 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64226053 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343743 | Kelly D. Fife | Radiology | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2005-08-15 |
| Street Address |
110 3RD ST SUITE 180, IMPERIAL BUILDING |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780567 | James Michael Stearns | Ophthalmology | 110 3rd St, Henderson, KY 42420-2993 | 2005-06-16 |
| 1033577812 | Raven Whitney Ray | Nurse Practitioner | 110 3rd St, Suite 180, Henderson, KY 42420-2993 | 2016-02-08 |
| 1346513397 | Virginia Sue Floyd | Pharmacist | 110 3rd St, Henderson, KY 42420-2993 | 2012-02-21 |
| 1508175100 | Henderson First Aid Inc | Internal Medicine | 110 3rd St, Henderson, KY 42420-2993 | 2010-09-29 |
| 1750543088 | Ricardo Andaya Maddela IIi | Surgery | 110 3rd St, Suite 130, Henderson, KY 42420-2993 | 2008-06-27 |
| 1518127638 | Methodist Health, Inc. | Nurse Practitioner | 110 3rd St, Imperial Bldg Suite 250, Henderson, KY 42420-2993 | 2008-06-12 |
| 1679751689 | Charles Hulett Futrell Jr. | Family Medicine | 110 3rd St, Suite 250, Henderson, KY 42420-2993 | 2008-02-01 |
| 1932389590 | Sheryl Lynn Shelton | Nurse Practitioner | 110 3rd St, Suite 180, Henderson, KY 42420-2993 | 2007-11-11 |
| 1730378365 | Bassam Yousef, Md Psc | Internal Medicine | 110 3rd St, Suite 370, Henderson, KY 42420-2993 | 2007-10-19 |
| 1285820852 | Jason T Samuel | Internal Medicine | 110 3rd St, Suite 310, Henderson, KY 42420-2993 | 2007-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028106 | Harold Zilberman, Md, Chartered | Pediatrics | 880 Seven Hills Dr Ste 100, Henderson, NV 89052-4372 | 2019-08-12 |
| 1740747542 | Payton Cerda | Pediatrics | 2510 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-1600 | 2019-02-27 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| 1679852891 | Jung Y. Hahr | Pediatrics | 969 Wagner Valley St, Henderson, NV 89052-5064 | 2011-08-04 |
| 1174755276 | Placida Martinez | Pediatrics | 247 Clemson St, Henderson, NV 89074-5484 | 2009-08-22 |
| 1306029830 | Mdfamily Medical Group | Pediatrics | 152 Zeb Robinson Rd, Henderson, NC 27537-3577 | 2007-12-06 |
| 1346374238 | Susan R Fernandez PC | Pediatrics | 2621 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2895 | 2007-03-15 |
| 1750422481 | Jagannath S. Surpure, M.d.p.c. | Pediatrics | 1600 W Sunset Rd, Suite A, Henderson, NV 89014-2654 | 2007-02-08 |
| 1184774093 | James Allen Wayne Jr. | Pediatrics | 451 Ruin Creek Rd Ste 101, Henderson, NC 27536-5920 | 2007-01-11 |
| 1982763108 | Hesham Sirsy Md Ltd | Pediatrics | 10950 S Eastern Ave, #100, Henderson, NV 89052-4970 | 2006-12-06 |
| Find all providers in HENDERSON | ||||
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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.