CHIAKI GAUNTT MD PLLC (NPI# 1285813469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285813469 |
| Entity Type | Organization |
| Organization Name | CHIAKI GAUNTT MD PLLC |
| Practice Address |
1917 S Highway 53 La Grange KY 40031-8574 |
| Mailing Address |
6307 Mint Spring Branch Rd Prospect KY 40059-8614 |
| Practice Telephone | 5026458539 |
| Practice Fax Number | 8129445496 |
| Mailing Telephone | 5026458539 |
| Mailing Fax Number | 8129445496 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | MS. DONNA M APPLEGATE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5026458539 |
| Authorized Official Credential | COT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
39795 | KY | Ambulatory Health Care Facilities |
| Street Address |
1917 S HIGHWAY 53 |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-8574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1548551054 | Ideal Image | Clinic/Center | 3604 Springhurst Blvd, Louisville, KY 40241-4142 | 2011-05-02 |
| 1609179589 | Paul L Patterson II Od Psc | Clinic/Center | 295 Campbellsville Byp Ste 1, Campbellsville, KY 42718-7870 | 2010-12-14 |
| 1437482072 | Ephraim Mcdowell Health Resource, Inc. | Clinic/Center | 216 West Walnut, Suite B, Danville, KY 40422-1824 | 2009-09-15 |
| 1477767549 | Karen Eastridge LLC | Clinic/Center | 1553 Highway 44 E Ste 2, Shepherdsville, KY 40165-7183 | 2007-05-09 |
| 1760525067 | Lagrange Wellness Chiropractoc | Clinic/Center | 2005 S Highway 53 Ste C, Lagrange, KY 40031-9109 | 2007-02-15 |
| 1316441975 | Renew Recovery, LLC | Clinic/Center | 599 Freedom Park Dr, Crestview Hills, KY 41017 | 2018-03-20 |
| 1801249925 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| 1346625613 | Mansfield Eye Clinic, Pllc | Clinic/Center | 5101 Hinkleville Rd, Ste 490, Paducah, KY 42001-9049 | 2015-07-28 |
| 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.