KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. (NPI# 1265063580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265063580 |
Entity Type | Organization |
Organization Name | KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. |
Other Organization Name | KINGS DAUGHTERS MEDICAL SPECIALTIES DERMATOLOGY |
Practice Address |
1200 Central Ave Ste 4 Ashland KY 41101-7575 |
Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
Practice Telephone | 6063241483 |
Practice Fax Number | 6063292612 |
Mailing Telephone | 6064086200 |
Mailing Fax Number | 6064086612 |
Enumeration Date | 2020-01-27 |
Last Update Date | 2020-02-27 |
Authorized Official Name | KRISTIE WHITLATCH (CEO) |
Authorized Official Telephone | 6064084401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Kings Daughters Medical Specialties Dermatology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366079543 | King's Daughters Medical Specialties, Inc. | Podiatrist | 1000 Ashland Dr Ste 104, Ashland, KY 41101-7092 | 2020-03-26 |
1467982462 | King's Daughters Medical Specialties, Inc. | Nurse Practitioner | 613 23rd St Ste 310, Ashland, KY 41101-2877 | 2017-06-13 |
1639579592 | King's Daughters Medical Specialties, Inc. | Internal Medicine | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2014-08-28 |
Street Address |
1200 CENTRAL AVE STE 4 |
City | ASHLAND |
State | KY |
Zip Code | 41101-7575 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750345922 | Carman Roberts | Physician Assistant | 1200 Central Ave Ste 4, Ashland, KY 41101-7575 | 2006-04-14 |
1447897343 | Tammy Dawn Woodburn | Nurse Practitioner | 1200 Central Ave Ste 4, Ashland, KY 41101-7575 | 2019-12-10 |
1841713922 | Todd William Hellmich | Nurse Practitioner | 1200 Central Ave Ste 4, Ashland, KY 41101-7575 | 2017-07-20 |
1205253457 | Francesca E Karle | Physician Assistant | 1200 Central Ave Ste 4, Ashland, KY 41101-7575 | 2014-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
Find all providers in zip 41101 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386999787 | Jack F. Ditty, Md, Psc | Dermatology | 100 Saint Christopher Dr, Ashland, KY 41101-7016 | 2012-07-23 |
1881627537 | Jolinda R Dillow | Dermatology | 336 29th St, Suite 201, Ashland, KY 41101-1900 | 2006-07-08 |
1952332538 | Carol H Cooper Md Psc | Dermatology | 1200 Central Ave, Suite 4, Ashland, KY 41101 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225423742 | Virginia Nell Kartha | Dermatology | 3810 Springhurst Blvd Ste 20, Louisville, KY 40241-6162 | 2015-04-01 |
1053757641 | Chase Landon Wilson | Dermatology | 304 Boston Sq, Georgetown, KY 40324-9786 | 2013-05-22 |
1316206584 | Carol B Thompson | Dermatology | 3475 Richmond Rd Ste 200, Lexington, KY 40509-2500 | 2012-05-09 |
1851665038 | Shannon England | Dermatology | 13802 Lake Point Cir, #102, Louisville, KY 40223-4219 | 2012-03-06 |
1659640878 | George J. Gataky, P.s.c. | Dermatology | 3 Audubon Plaza Dr Ste 630, Louisville, KY 40217-1362 | 2011-12-16 |
1811285117 | Dermatology Associates of Pikeville, Pllc | Dermatology | 1098 S Mayo Trl Ste 211, Pikeville, KY 41501-1574 | 2011-07-20 |
1770806424 | Kentucky Dermatology Clinic, Pllc | Dermatology | 120 State Ave, Glasgow, KY 42141-1451 | 2010-03-09 |
1629243860 | J David Outland, M.d. | Dermatology | 300 S 8th St Ste 405e, Murray, KY 42071-2444 | 2008-04-29 |
1659542058 | Ky Dermatology & Skin Cancer | Dermatology | 1750 Highway 192 W, London, KY 40741-2639 | 2008-03-13 |
1609047083 | Bowling Green Dermatology & Skin Cancer Specialists Pllc | Dermatology | 1106 Fairway Street, Bowling Green, KY 42103 | 2008-03-13 |
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.