MRS. KATHRYN MARIE EKSTROM


Address: 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788
Phone: 2708270064

MRS. KATHRYN MARIE EKSTROM (NPI# 1346493400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346493400
Entity Type Individual
Full Name MRS. KATHRYN MARIE EKSTROM
Other Name MISS KATHRYN MARIE PIERCY
Credential M.D.
Practice Address 1300 Merritt Dr Ste 100
Henderson
KY 42420-2788
Mailing Address Po Box 1510
Evansville
IN 47706-1510
Practice Telephone 2708270064
Practice Fax Number 2708263338
Mailing Telephone 8124506879
Mailing Fax Number 2703893707
Enumeration Date 2008-11-02
Last Update Date 2019-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 47919 KY Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 7471451-1205 UT Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 47919 KY Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 7471451-1205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100345240 05

Office Location

Street Address 1300 MERRITT DR STE 100
City HENDERSON
State KY
Zip Code 42420-2788

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417905332 Scott A Watkins Internal Medicine 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788 2006-05-04
1518526227 Joseph T Lansden Nurse Practitioner 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788 2019-06-07
1497026132 Kathryn Dru Greenwell Perkins Nurse Practitioner 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788 2012-01-25
1336422955 Brian D Wellington Family Medicine 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788 2011-09-20
1184957060 Kimberly Ann Wells Nurse Practitioner 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788 2009-09-10
1699822569 Rachel Farmer Pediatrics 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788 2007-01-04
1326096827 Lela K Marable Nurse Practitioner 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788 2006-05-05
1295783884 Garah E Wright Family Medicine 1300 Merritt Dr Ste 100, Henderson, KY 42420-2788 2006-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174136337 Virtual Consult Md LLC Psychiatry & Neurology 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 2020-08-27
1679062731 Maranda Wortham Miles Nurse Practitioner 2242 Hwy 41 North, Henderson, KY 42420 2018-05-04
1780124297 Lisa Lovell Nurse Practitioner 230 North Green Street, Henderson, KY 42420 2017-03-02
1437540614 Kala Hovermale Social Worker 220 2nd Street Ste 406, Henderson, KY 42420 2015-02-10
1972991537 Jessica Thomas Counselor 230 Second St, Suite 406, Henderson, KY 42420 2015-01-06
1255690962 Green River District Health Department Public Health or Welfare 631 N. Green Street, Henderson, KY 42420 2012-05-15
1588922769 Jonathan M Mosley Family Medicine 1200 Barrett Blvd, Henderson, KY 42420 2012-04-25
1093099731 Gregory Ayuk Pharmacist 402 Second Street, Henderson, KY 42420 2011-09-29
1437488137 Peter J. Doll, D.p.m. Durable Medical Equipment & Medical Supplies 323 8th St., Henderson, KY 42420 2009-12-09
1760626402 Linda Dalton Keith Nurse Practitioner 1704 2nd St, Henderson, KY 42420 2009-04-24
Find all providers in zip 42420

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811521313 Mahgerefteh Medical Pllc Internal Medicine 10624 S Eastern Ave Ste A-1015, Henderson, NV 89052-2982 2020-02-24
1780232421 Toledo and Associates Ltd Internal Medicine 1546 W Warm Springs Rd Ste 100, Henderson, NV 89014-4326 2019-08-27
1528552379 Snf Doctors of Henderson, Inc Internal Medicine 10410 S Eastern Ave Ste 100, Henderson, NV 89052-4196 2018-06-15
1063828226 Premiere Home Services LLC Internal Medicine 688 Childrens Way, Henderson, NV 89052-4818 2014-07-09
1376973594 Roy M Margallo Md Internal Medicine 10725 Prairie Wheat Ct, Henderson, NV 89052-8688 2013-11-25
1255779443 Tiffany Therese Fonte Internal Medicine 108 E Lake Mead Pkwy Ste 302, Henderson, NV 89015 2013-06-10
1679864854 Mpado Medical (amin) Ltd. Internal Medicine 11425 S Bermuda Rd, Henderson, NV 89052-8710 2011-04-22
1932498144 Wendy Mojica Internal Medicine 10624 S Eastern Ave # A955, Henderson, NV 89052 2011-03-29
1912201104 Elron Mighty Internal Medicine 745 S Green Valley Pkwy Ste 160, Henderson, NV 89052 2011-01-02
1295052322 Joseph E. Dawa Internal Medicine 2900 W Horizon Ridge Pkwy Ste 221, Henderson, NV 89052-5014 2010-04-29
Find all providers in HENDERSON

Competitor

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City HENDERSON
Zip Code 42420

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Dataset Information

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.

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