SOUTHGATE MEDICAL OF KY, INC (NPI# 1134269384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134269384 |
| Entity Type | Organization |
| Organization Name | SOUTHGATE MEDICAL OF KY, INC |
| Practice Address |
425 Garrard St Covington KY 41011-2562 |
| Practice Telephone | 8592928880 |
| Practice Fax Number | 8592928923 |
| Mailing Telephone | 8592928880 |
| Mailing Fax Number | 8592928923 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RALPH L STACEY II (OWNER ADMINISTRATOR) |
| Authorized Official Telephone | 8592928880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 9047059200 | 05 |
| Street Address |
425 GARRARD ST |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319471 | Garrard Convalescent Home Snf | Nursing Facility/Intermediate Care Facility | 425 Garrard St, Covington, KY 41011-2562 | 2006-01-06 |
| 1558698977 | Rebecca L Garnick | Speech-Language Pathologist | 425 Garrard St, Covington, KY 41011-2562 | 2009-11-05 |
| 1811122401 | Deborah J Sharpe | Speech-Language Pathologist | 425 Garrard St, Covington, KY 41011-2562 | 2009-05-26 |
| 1437393659 | Teresa Nicole Schmidt | Physical Therapy Assistant | 425 Garrard St, Covington, KY 41011-2562 | 2009-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215069943 | Kenton Housing Inc | Durable Medical Equipment & Medical Supplies | 4250 Glenn Ave, Covington, KY 41015-1641 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932010 | Wright Care Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 2138 Blacklog Rd, Inez, KY 41224-9019 | 2019-06-26 |
| 1346769304 | J&c Investments Inc | Durable Medical Equipment & Medical Supplies | 116 Clark St, Flemingsburg, KY 41041 | 2017-09-11 |
| 1669761391 | Blaze Valley Corporation | Durable Medical Equipment & Medical Supplies | 974 Piney Grove Rd, Somerset, KY 42501-5476 | 2011-04-04 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1790094530 | Mattress Gallery | Durable Medical Equipment & Medical Supplies | 3125 Lone Oak Rd, Suite B, Paducah, KY 42003-5743 | 2010-09-28 |
| 1649400771 | Community Oxygen & Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 112 W. 12th St., Beaver Dam, KY 42320-0025 | 2009-07-23 |
| 1568696912 | Genesis Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 499 Tucker Dr, Maysville, KY 41056-9111 | 2009-05-13 |
| 1194967109 | Pikeville Medical Center Inc. | Durable Medical Equipment & Medical Supplies | 138 S Mayo Trl, Pikeville, KY 41501-1309 | 2009-04-06 |
| 1841419926 | Renaissance Medical LLC | Durable Medical Equipment & Medical Supplies | 1006 Leawood Dr, Ste 201, Frankfort, KY 40601-3349 | 2007-04-25 |
| 1508083304 | Apria Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 200 E. 9th St., Ste A., Hopkinsville, KY 42240-3449 | 2007-04-20 |
| Find all providers with the same taxonomy | ||||
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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.