MD GROUP PSC (NPI# 1326404336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326404336 |
| Entity Type | Organization |
| Organization Name | MD GROUP PSC |
| Practice Address |
1006 New Moody Ln La Grange KY 40031-9122 |
| Practice Telephone | 5025930083 |
| Practice Fax Number | 8883102675 |
| Mailing Telephone | 5025930083 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |
| Authorized Official Name | MARY L BARRESI (OWNER) |
| Authorized Official Telephone | 5025930083 |
| Authorized Official Credential | DO |
| 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 | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | KY | Allopathic & Osteopathic Physicians |
| Street Address |
1006 NEW MOODY LN |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-9122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393961 | Rameshbhai Patel | Emergency Medicine | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2005-08-10 |
| 1366960908 | Physicians Medical Center LLC | Clinic/Center | 1006 New Moody Ln, La Grange, KY 40031 | 2017-09-05 |
| 1912454067 | Olivia Rose Houck | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2016-09-07 |
| 1194186510 | Robert Jagger Hehre | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2016-03-12 |
| 1780099499 | Instant Health LLC | Clinic/Center | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2014-06-23 |
| 1548691256 | Samantha Straight | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2013-12-05 |
| 1891048898 | Mika Lea Bates | Nurse Practitioner | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2012-10-16 |
| 1881996999 | Taylor Lee Snyders | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2010-11-22 |
| 1518294057 | Deanna Lynn Mueller | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2009-11-04 |
| 1538302898 | Carina Curnow Burns | General Practice | 1006 New Moody Ln, Pmc Urgent Care, La Grange, KY 40031-9122 | 2009-04-15 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902347313 | Samyuktha Vani Kemparajurs | Family Medicine | 501 Parker Pl Unit 200, La Grange, KY 40031-2229 | 2017-03-17 |
| 1265843874 | Kinuyo Henderson | Family Medicine | 1253 N. Von Minden, La Grange, TX 78945 | 2014-05-16 |
| 1497199368 | Oldham County Ministerial Association | Family Medicine | 1025 Sanibel Way, Suite E, La Grange, KY 40031-9156 | 2013-04-23 |
| 1073779500 | Tejas Health Care | Family Medicine | 890 E Travis St, La Grange, TX 78945-2364 | 2008-08-04 |
| 1801070974 | Bill D Nolen Pa | Family Medicine | 2 Saint Marks Pl Ste 112, La Grange, TX 78945-1256 | 2007-12-24 |
| 1689875783 | Marcy Dering | Family Medicine | 23 Calendar Ave, La Grange, IL 60525-2365 | 2007-05-29 |
| 1205042975 | Clodagh Therese Ryan | Family Medicine | 1400 W 47th St Ste 1, La Grange, IL 60525-6148 | 2007-05-16 |
| 1245457282 | Andrea Ocampo Colada | Family Medicine | 1323 Memorial Drive, Ste 214, La Grange, IL 60525 | 2007-04-19 |
| 1992886717 | Nasreen Ansari | Family Medicine | 23 Calendar Ct, La Grange, IL 60525-2365 | 2006-10-18 |
| 1922194083 | Barry Brian Sosnin Jr. | Family Medicine | 1019 Commerce Pkwy, La Grange, KY 40031-8779 | 2006-10-05 |
| Find all providers in LA GRANGE | ||||
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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.