JOHNATHON CURTIS EDGE (NPI# 1114969201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114969201 |
| Entity Type | Individual |
| Full Name | JOHNATHON CURTIS EDGE |
| Credential | MD |
| Practice Address |
2200 E Parrish Ave Bldg E Suite 205 Owensboro KY 42303-1449 |
| Practice Telephone | 2708521645 |
| Practice Fax Number | 2708521646 |
| Mailing Telephone | 2708521645 |
| Mailing Fax Number | 2708521646 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
39536 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000489532 | 01 |
| KY | 64127699 | 05 |
| Street Address |
2200 E PARRISH AVE BLDG E SUITE 205 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960483 | David M Eggers | Specialist | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303-1449 | 2005-05-24 |
| 1124520986 | Tara Clark | Nurse Practitioner | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 | 2018-03-07 |
| 1972025617 | Brittany Renae Winn Mckinley | Dentist | 2200 E Parrish Ave, Building C, Suite 102, Owensboro, KY 42303 | 2017-07-14 |
| 1639618283 | Almost Family PC of Kentucky, LLC | Nursing Care | 2200 E Parrish Ave, Bldg E., Suite 202, Owensboro, KY 42303-1449 | 2017-02-15 |
| 1700338290 | Janet Rowland | Dentist | 2200 E Parrish Ave, Building C, Suite 201, Owensboro, KY 42303-1449 | 2016-10-31 |
| 1710437165 | Claire Stevenson | Nurse Practitioner | 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 | 2016-10-10 |
| 1619337920 | Mckenzie Mattingly | Nurse Practitioner | 2200 E Parrish Ave, Bldg B Ste 101, Owensboro, KY 42303-1449 | 2016-02-29 |
| 1003295783 | Allied Physician Group LLC | Clinic/Center | 2200 E Parrish Ave, Building A, Owensboro, KY 42303-1449 | 2015-05-27 |
| 1811380652 | Adair Elizabeth Price | Physician Assistant | 2200 E Parrish Ave, Bldg B Ste 101, Owensboro, KY 42303-1449 | 2015-03-17 |
| 1467843250 | Dermatology Center of Owensboro Pllc | Dermatology | 2200 E Parrish Ave, Bld E Ste 205, Owensboro, KY 42303-1449 | 2015-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932132768 | Dermatology and Skin Cancer Specialists, Psc | Dermatology | 2200 E Parrish Ave, Bldg E Suite 205, Owensboro, KY 42303-1449 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1326203142 | Dermatology of Southern Kentucky Pllc | Dermatology | 85 Tower Cir, Somerset, KY 42503-3476 | 2008-07-21 |
| 1740315589 | Jack Foster Ditty Jr. | Dermatology | 100 Saint Christopher Dr, Ashland, KY 41101-7016 | 2007-02-22 |
| 1871593996 | Samuel J Pruden II | Dermatology | 989 Governors Ln Ste 220, Lexington, KY 40513-1175 | 2005-07-29 |
| 1457355174 | John L Buker | Dermatology | 3475 Richmond Rd, Ste 200, Lexington, KY 40509-2500 | 2005-06-10 |
| 1902302987 | Kentucky Skin Cancer Center Pllc | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2018-03-30 |
| 1477922672 | Forefront Dermatology, S.c. | Dermatology | 2333 Ring Rd, Elizabethtown, KY 42701 | 2015-09-17 |
| 1861897217 | Forefront Dermatology, S.c. | Dermatology | 501 S 2nd St, Louisville, KY 40202 | 2014-10-28 |
| 1003133901 | Joseph Allen Blackmon | Dermatology | 2424 Harrodsburg Rd Ste 200, Lexington, KY 40503 | 2010-05-01 |
| 1609924018 | Buker Office Based Surgery, Pllc | Dermatology | 3475 Richmond Rd, Suite 200, Lexington, KY 40509-2500 | 2007-01-08 |
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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.