KENTUCKY SLEEP DISORDER CENTER (NPI# 1114100617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114100617 |
| Entity Type | Organization |
| Organization Name | KENTUCKY SLEEP DISORDER CENTER |
| Practice Address |
1006 New Moody Ln La Grange KY 40031-9122 |
| Mailing Address |
Po Box 393 La Grange KY 40031-0393 |
| Practice Telephone | 5022220330 |
| Practice Fax Number | 5022220390 |
| Mailing Telephone | 5022220330 |
| Mailing Fax Number | 5022220390 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | NISHA G DAVE (REGISTERED AGENT) |
| Authorized Official Telephone | 5022220330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278P1004X |
Respiratory Therapist, Certified Specialization: Pulmonary Diagnostics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1006 NEW MOODY LN |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-9122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393961 | Rameshbhai Patel | Emergency Medicine | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2005-08-10 |
| 1366960908 | Physicians Medical Center LLC | Clinic/Center | 1006 New Moody Ln, La Grange, KY 40031 | 2017-09-05 |
| 1912454067 | Olivia Rose Houck | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2016-09-07 |
| 1194186510 | Robert Jagger Hehre | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2016-03-12 |
| 1326404336 | Md Group Psc | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2016-01-06 |
| 1780099499 | Instant Health LLC | Clinic/Center | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2014-06-23 |
| 1548691256 | Samantha Straight | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2013-12-05 |
| 1891048898 | Mika Lea Bates | Nurse Practitioner | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2012-10-16 |
| 1881996999 | Taylor Lee Snyders | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2010-11-22 |
| 1518294057 | Deanna Lynn Mueller | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2009-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 2278P1004X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | Pulmonary Diagnostics |
| Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies. |
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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.