GEORGETOWN COLLEGE, INC (NPI# 1285109744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285109744 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN COLLEGE, INC |
| Practice Address |
400 E College St Georgetown KY 40324-1628 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Mailing Telephone | 9723674845 |
| Mailing Fax Number | 9723673451 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | STACEE GIBSON (ASSISTANT ATHLETIC TRAINER) |
| Authorized Official Telephone | 8592742128 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Georgetown Sports Medicine | Doing Business As Name - Organization |
| Street Address |
400 E COLLEGE ST |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861600843 | Randy Mcguire | Specialist/Technologist | 400 E College St, Georgetown, KY 40324-1628 | 2007-05-21 |
| 1467062067 | Abby Flynn | Specialist/Technologist | 400 E College St, Georgetown, KY 40324-1628 | 2020-08-07 |
| 1417596933 | Kalia Lani Barnett | Emergency Medical Technician, Basic | 400 E College St, Georgetown, KY 40324-1696 | 2019-12-31 |
| 1134680291 | Sarah Franklin | Specialist/Technologist | 400 E College St, Georgetown, KY 40324-1628 | 2019-03-29 |
| 1306305347 | Doreen Diana Brabble | Specialist/Technologist | 400 E College St, Georgetown, KY 40324-1628 | 2019-03-19 |
| 1962966515 | Madeline Wyatt | Specialist/Technologist | 400 E College St, Georgetown, KY 40324-1696 | 2019-01-29 |
| 1801368089 | Alex Robert Brody | Specialist/Technologist | 400 E College St, Georgetown, KY 40324-1628 | 2018-12-27 |
| 1063993566 | Karla K Francioni | Specialist/Technologist | 400 E College St, Georgetown, KY 40324-1628 | 2018-08-23 |
| 1083105357 | Rachel Brooke Daniels | Specialist/Technologist | 400 E College St, Georgetown, KY 40324-1628 | 2018-05-22 |
| 1457875205 | Merrisa Kennedy Heraldson | Specialist/Technologist | 400 E College St, Georgetown, KY 40324-1628 | 2017-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437514510 | Austin Physician Alliance Group | General Practice | 316 Escondido Dr, Georgetown, TX 78633-5645 | 2015-12-16 |
| 1033457734 | Hector J. Maya, M.d., P.a. | General Practice | 8 N Front St, Georgetown, DE 19947-1414 | 2013-01-30 |
| 1982859666 | David Stanley Starr | General Practice | 2334 Westwood Ln, Georgetown, TX 78628-3366 | 2008-11-23 |
| 1265415491 | Henry E Childers Iv | General Practice | 20930 Dupont Blvd, Suite 202, Georgetown, DE 19947-1725 | 2005-11-22 |
| 1205221397 | Rock Springs Physician Group LLC | General Practice | 700 Se Inner Loop, Georgetown, TX 78626-7700 | 2015-04-06 |
| 1861571614 | James A Mckinney | General Practice | 3201 S Austin Ave, Ste 255, Georgetown, TX 78626-7545 | 2006-11-03 |
| 1124026562 | Hector J Maya Sr. | General Practice | 8 N Front St, Georgetown, DE 19947-1414 | 2005-07-11 |
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|---|---|---|---|---|
| 1407461171 | Christina Marie Shea Tobbe | General Practice | 1707 Cedar Grove Rd Ste 150, Shepherdsville, KY 40165-8572 | 2020-09-10 |
| 1689214454 | Superior Healthcare Pllc | General Practice | 7560 Us Highway 42 Ste B, Florence, KY 41042-1908 | 2020-01-09 |
| 1144876814 | You Only Live Once Medical | General Practice | 821 Ulrich Ave, Louisville, KY 40219-1844 | 2019-08-17 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| 1649775586 | Landmark Medical of Kentucky, Psc | General Practice | 113 Glenn Pl Unit 100, Lexington, KY 40505-3518 | 2018-03-23 |
| 1639603145 | Charita Weathers | General Practice | 401 East Chestnut, Ste 610, Louisville, KY 40202 | 2017-04-12 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1528519113 | A New Journey | General Practice | 4100 Cadillac Ct, Louisville, KY 40213-1591 | 2016-10-18 |
| 1013381441 | Veloz Medical Services Corp | General Practice | 6911 Shepherdsville Rd, Louisville, KY 40219-2211 | 2015-11-23 |
| 1407229545 | Fern Medical and Rehab Corp | General Practice | 5520 Fern Valley Rd, 107, Louisville, KY 40228-1087 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
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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.