CLARK REGIONAL PHYSICIAN PRACTICES, LLC (NPI# 1114282605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114282605 |
| Entity Type | Organization |
| Organization Name | CLARK REGIONAL PHYSICIAN PRACTICES, LLC |
| Practice Address |
225 Hospital Dr Winchester KY 40391-7604 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 8597378528 |
| Practice Fax Number | 8597378529 |
| Mailing Telephone | 6159207000 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | KATHY TEAGUE (CORPORATE SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
225 HOSPITAL DR |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-7604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316946932 | Rebecca Diane Bartee | Surgery | 225 Hospital Dr, Winchester, KY 40391-7604 | 2005-07-15 |
| 1760949184 | Jennifer Leigh Morris | Nurse Practitioner | 225 Hospital Dr, Winchester, KY 40391-7604 | 2019-02-21 |
| 1952877177 | Rachel Gilliam | Nurse Practitioner | 225 Hospital Dr, Bldg B, Ste 255, Winchester, KY 40391-7676 | 2018-10-15 |
| 1700258589 | Tonya Kay Hadden | Nurse Practitioner | 225 Hospital Dr, Winchester, KY 40391-7604 | 2015-10-20 |
| 1720478936 | Mary Kendall Warner | Physician Assistant | 225 Hospital Dr, Winchester, KY 40391-7676 | 2015-01-26 |
| 1982007431 | Stewart Vickrey | Nurse Practitioner | 225 Hospital Dr, Winchester, KY 40391-7676 | 2014-09-29 |
| 1629489075 | Clark Regional Physician Practices LLC | Nurse Practitioner | 225 Hospital Dr, Ste 200b, Winchester, KY 40391-7676 | 2014-05-19 |
| 1518378843 | Cecelia Marie Howard | Nurse Practitioner | 225 Hospital Dr, Winchester, KY 40391-7676 | 2014-05-08 |
| 1508204223 | Clark Regional Physician Practices LLC | Internal Medicine | 225 Hospital Dr, Suite 300a, Winchester, KY 40391-7676 | 2013-06-05 |
| 1144663220 | Clark Regional Physician Practices LLC | Nurse Practitioner | 225 Hospital Dr, Suite 200b, Winchester, KY 40391-7676 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190441 | Antoaneta Angelova Fitzpatrick | Family Medicine | 607 Pritchards Hill Ct, Winchester, VA 22601-2653 | 2020-06-28 |
| 1851877310 | Acare Medical Center,llc | Family Medicine | 125 Prosperity Dr Ste 800, Winchester, VA 22602-5362 | 2018-07-17 |
| 1639679913 | Fast Pace Medical Clinic Pllc | Family Medicine | 2401 Decherd Blvd, Winchester, TN 37398-1164 | 2018-02-13 |
| 1255842506 | Valley Physician Enterprise, Inc | Family Medicine | 160 Merchant Street, Ste 100, Winchester, VA 22603 | 2017-10-13 |
| 1255851531 | Boden Health System LLC | Family Medicine | 125 Prosperity Dr Ste 500, Winchester, VA 22602-5361 | 2017-06-27 |
| 1952750242 | Morgan Santhamoorthy | Family Medicine | 203 Cambridge St, Winchester, MA 01890-2338 | 2016-06-07 |
| 1285048751 | Akolea K Ioane | Family Medicine | 1870 Amherst St Ste 2g, Winchester, VA 22601-2841 | 2014-06-12 |
| 1902192941 | Bryan D Grooms | Family Medicine | Po Box 155, Winchester, OH 45697-0155 | 2011-06-28 |
| 1891098620 | The Family Doctor's Office Plc | Family Medicine | 440 W Jubal Early Dr Ste 120, Winchester, VA 22601-6319 | 2010-12-16 |
| 1003040072 | Kentucky Bariatric, Inc | Family Medicine | 4925 Rockwell Road, Winchester, KY 40391-1928 | 2009-05-06 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
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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.