CONCORD MEDICAL GROUP OF KENTUCKY PLLC (NPI# 1346746385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346746385 |
| Entity Type | Organization |
| Organization Name | CONCORD MEDICAL GROUP OF KENTUCKY PLLC |
| Practice Address |
1011 Old Highway 60 Hardinsburg KY 40143-2519 |
| Mailing Address |
Po Box 3689 Dept 314 Sugar Land TX 77487-3310 |
| Practice Telephone | 2707567000 |
| Practice Fax Number | 8175393073 |
| Mailing Telephone | 8009623303 |
| Mailing Fax Number | 8175393073 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | DR. HARRY KYLE SHEETS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8067293445 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PENDING | 05 | |
| KY | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 N Section St, Sullivan, IN 478827523 | 8122684311 | 8175393073 |
| Street Address |
1011 OLD HIGHWAY 60 |
| City | HARDINSBURG |
| State | KY |
| Zip Code | 40143-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104828383 | Breckinridge Health, Inc | General Acute Care Hospital | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2005-06-01 |
| 1093227431 | Breckinridge Health Inc | Clinic/Center | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2017-10-25 |
| 1649798075 | Breckinridge Health Inc | Anesthesiology | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2017-09-06 |
| 1306203641 | John Eric Roe Jr. | Nurse Anesthetist, Certified Registered | 1011 Old Highway 60, Hardinsburg, KY 40143 | 2016-01-18 |
| 1871958157 | Breckinridge Health, Inc. | Psychiatry & Neurology | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2015-12-30 |
| 1114336609 | Mary Ratliff | Dietitian, Registered | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2014-08-08 |
| 1477743003 | Breckinridge Health, Inc. | Emergency Medicine | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2007-07-30 |
| 1982765921 | Breckinridge Health Inc | Pharmacy | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2006-12-13 |
| 1831294206 | Breckinridge Health, Inc. | Medicare Defined Swing Bed Unit | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2006-09-13 |
| 1275584286 | Darrell Hallau | Emergency Medicine | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134513559 | Alicia Cheryl Henning | Nurse Practitioner | 83 Ballpark Rd, Hardinsburg, KY 40143 | 2015-03-24 |
| 1447539663 | Brian Chad Brill Jr. | Internal Medicine | 207a Fairgrounds Rd, Hardinsburg, KY 40143 | 2011-08-04 |
| 1083811350 | Susan Bacon Baetzel | Physical Therapist | 101 Fairgrounds Rd., Hardinsburg, KY 40143 | 2007-06-29 |
| 1265453658 | Rebecca Driskell-mccoy | Clinic/Center | 122 W Third St, Hardinsburg, KY 40143 | 2006-07-21 |
| 1891713442 | Rebecca Lanora Driskell-mccoy | Dentist | 122 W Third St., Hardinsburg, KY 40143 | 2006-07-18 |
| 1851340848 | Breckinridge County Central Ems Inc | Ambulance | 807 Old Us 60, Hardinsburg, KY 40143 | 2006-05-08 |
| 1265480164 | David Michael Faber | Surgery | 607 Old Highway 60, Hardinsburg, KY 40143 | 2006-05-04 |
| 1538135033 | Meena S Patel | Pediatrics | 203 Fairgrounds Rd, Hardinsburg, KY 40143 | 2006-02-24 |
| 1568912400 | Breckinridge Health Inc | Family Medicine | 107 Old Hwy 60, Hardinsburg, KY 40143 | 2016-10-04 |
| 1457719643 | Ack Healthcare Management LLC | Nurse Practitioner | 83 Ballpark Rd, Hardinsburg, KY 40143 | 2016-02-03 |
| Find all providers in zip 40143 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477743003 | Breckinridge Health, Inc. | Emergency Medicine | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2007-07-30 |
| 1275584286 | Darrell Hallau | Emergency Medicine | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2006-05-15 |
| 1760456073 | Gregory West | Emergency Medicine | 1011 Old Highway 60, Hardinsburg, KY 40143-2519 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620768 | Rachel L Arnold | Emergency Medicine | 702 N Maple Ave, Danville, KY 40422-1147 | 2019-10-10 |
| 1154976405 | Larry Dale Melton | Emergency Medicine | 7712 Cambridge Ct, Crestwood, KY 40014-8932 | 2019-08-05 |
| 1811484264 | Bellefonte Physician Services, Inc. | Emergency Medicine | 1816 Carter Ave Ste 2, Ashland, KY 41101-7643 | 2018-04-20 |
| 1093210338 | Emily Marsh | Emergency Medicine | 50 Woodson Way, Glasgow, KY 42141-3245 | 2018-03-28 |
| 1215464839 | Robert A Hudepohl | Emergency Medicine | 2487 Legends Way, Crestview Hills, KY 41017-3480 | 2017-05-12 |
| 1851822696 | Jonathan Walrath | Emergency Medicine | 48 Achates Dr, Florence, KY 41042-9753 | 2017-03-23 |
| 1194187179 | Russell Paul Landry IIi | Emergency Medicine | 1303 Us Hwy 127 S Ste 402, 367, Frankfort, KY 40601 | 2016-03-28 |
| 1083076145 | Slade Thompson | Emergency Medicine | 800 Rose St University of Kentucky, Lexington, KY 40536-7001 | 2016-03-27 |
| 1285096834 | Michael Gleason | Emergency Medicine | 859.323 5083, 800 Rose St M-53, Lexington, KY 40536-0298 | 2016-03-23 |
| 1538543087 | David Sindler | Emergency Medicine | 3615 E John Rowan Blvd Ste 104, Bardstown, KY 40004-3264 | 2015-07-15 |
| Find all providers with the same taxonomy | ||||
| City | HARDINSBURG |
| Zip Code | 40143 |
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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.