DR. MEDIATRIX MBAMALU (NPI# 1114174257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114174257 |
| Entity Type | Individual |
| Full Name | DR. MEDIATRIX MBAMALU |
| Credential | MD |
| Practice Address |
226 Medical Plaza Ln Whitesburg KY 41858-7425 |
| Mailing Address |
Po Box 40 Whitesburg KY 41858-0040 |
| Practice Telephone | 6066334871 |
| Practice Fax Number | 6066330883 |
| Mailing Telephone | 6066334823 |
| Mailing Fax Number | 6066331874 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2012-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 44677 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100167140 | 05 |
| Street Address |
226 MEDICAL PLAZA LN |
| City | WHITESBURG |
| State | KY |
| Zip Code | 41858-7425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811979685 | Isabella B. Nyan | Obstetrics & Gynecology | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2005-11-17 |
| 1821627068 | Devin N Whitt | Nurse Practitioner | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2020-04-08 |
| 1396218988 | Kyla G. Stanley | Nurse Practitioner | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2019-01-07 |
| 1053807073 | Myra Lynn Kelly | Nurse Practitioner | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2018-07-02 |
| 1619460714 | Mckenzie Smith | Dentist | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2018-06-13 |
| 1124519319 | Kristin Smith | Advanced Practice Midwife | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2018-05-23 |
| 1922507581 | Natasha Smith | Nurse Practitioner | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2018-02-08 |
| 1477065803 | Brandi Carmical | Nurse Practitioner | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2017-10-25 |
| 1053856799 | Heather L. Yates | Nurse Practitioner | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2017-01-05 |
| 1871042804 | Jennie Sturgill | Nurse Practitioner | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2016-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799719 | Pine Mountain Pharmacy Inc | Pharmacy | 421 Highway 119 N, Whitesburg, KY 41858 | 2018-11-13 |
| 1831670892 | Wayne Coots | Occupational Therapist | 71 Piedmont Fr., Whitesburg, KY 41858 | 2018-08-27 |
| 1467938787 | Trevor Jacob Mullins | Pharmacist | 2300 Ky-15, Whitesburg, KY 41858 | 2018-07-19 |
| 1952686115 | Appalachian Heals, Inc. | Day Training, Developmentally Disabled Services | 270 Vermillion Ave., Whitesburg, KY 41858 | 2011-10-19 |
| 1801106281 | Pikeville Medical Center Inc. | Clinic/Center | 148 Suite A, Whitesburg Plaza, Whitesburg, KY 41858 | 2010-10-19 |
| 1346556990 | Julie Annette Baldridge | Pharmacist | 350 Whitesburg Plaza, Whitesburg, KY 41858 | 2010-08-20 |
| 1700075314 | Appalachian Rehabilitation Team, Inc. | Physical Therapist | 251 Medical Plaza Lane, Suite A, Whitesburg, KY 41858 | 2007-10-19 |
| 1356535603 | Kentucky River District Health Department | Public Health or Welfare | 150 Colson School Road, Whitesburg, KY 41858 | 2007-08-30 |
| 1578757928 | Kentucky River District Health Dept | Public Health or Welfare | Highway 931 South, Whitesburg, KY 41858 | 2007-08-29 |
| 1902019128 | Kentucky River District Health Department | Public Health or Welfare | 435 Cougar Drive, Whitesburg, KY 41858 | 2007-05-07 |
| Find all providers in zip 41858 | ||||
| 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 |
|---|---|---|---|---|
| 1780848820 | Katherine Marie Ebsworth-mojica | Pediatrics | 226 Medical Plaza Ln, Whitesburg, KY 41858 | 2008-07-17 |
| 1962661538 | Andrey Kolesnikov | Pediatrics | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2008-06-09 |
| 1063613214 | Megan C. Fuller | Pediatrics | 226 Medical Plaza Ln, Whitesburg, KY 41858-7425 | 2007-05-29 |
| 1881687259 | Chalapathi G Rao | Pediatrics | 214 Hospital Rd, Whitesburg, KY 41858-7627 | 2005-08-31 |
| 1659364032 | Vahid Mehrpouyan | Pediatrics | 214 Hospital Rd, Whitesburg, KY 41858-7627 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1598384745 | Breckinridge Health Clinic | Pediatrics | 203b Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2020-04-08 |
| 1811533433 | Grace Community Health Center, Inc. | Pediatrics | 120 N Commonwealth Ave Ste 123&4, Corbin, KY 40701-6472 | 2019-11-19 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
| City | WHITESBURG |
| Zip Code | 41858 |
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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.