DAVID GERARD DEMAR SR. (NPI# 1376956516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376956516 |
| Entity Type | Individual |
| Full Name | DAVID GERARD DEMAR SR. |
| Credential | CSFA/KCSA |
| Practice Address |
4305 New Shepherdsville Rd Bardstown KY 40004-9019 |
| Practice Telephone | 5023505521 |
| Mailing Telephone | 5023505521 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA265 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4305 NEW SHEPHERDSVILLE RD |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 40004-9019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871588772 | Flaget Healthcare, Inc | General Acute Care Hospital | 4305 New Shepherdsville Rd, Bardstown, KY 40004-9019 | 2005-09-16 |
| 1083005516 | Michele Herbert | Nurse Practitioner | 4305 New Shepherdsville Rd, Bardstown, KY 40004-9019 | 2015-02-05 |
| 1710392485 | Thomas England | Internal Medicine | 4305 New Shepherdsville Rd, Bardstown, KY 40004-9019 | 2014-06-21 |
| 1184065799 | Olivia F Kelley | Anesthesiology | 4305 New Shepherdsville Rd, Bardstown, KY 40004-9019 | 2013-07-11 |
| 1992142632 | Jessica Marshall | Emergency Medicine | 4305 New Shepherdsville Rd, Bardstown, KY 40004 | 2013-06-03 |
| 1407139686 | Flaget Healthcare, Inc | Nurse Anesthetist, Certified Registered | 4305 New Shepherdsville Rd, Bardstown, KY 40004-9019 | 2011-09-23 |
| 1053618637 | Price Richardson | Nurse Anesthetist, Certified Registered | 4305 New Shepherdsville Rd, Bardstown, KY 40004-9019 | 2011-02-17 |
| 1053613729 | Shandrika Renee Feitelson | Nurse Practitioner | 4305 New Shepherdsville Rd, Bardstown, KY 40004-9019 | 2010-12-01 |
| 1841521481 | David S Ellison | Nurse Anesthetist, Certified Registered | 4305 New Shepherdsville Rd, Anesthesia Department, Bardstown, KY 40004-9019 | 2010-01-21 |
| 1033440086 | Lagenia K Wright | Nurse Practitioner | 4305 New Shepherdsville Rd, Bardstown, KY 40004-9019 | 2010-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
| 1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
| 1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
| Find all providers in zip 40004 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427429620 | Hannah Johnson | Physician Assistant | 4359 New Shepherdsville Rd Unit 245, Bardstown, KY 40004-8004 | 2015-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558666941 | Lisa Elaine Knipp | Physician Assistant | 72 Little Current Trl, Corbin, KY 40701-8535 | 2011-01-17 |
| 1366675886 | Meadow Creek Surgical Plc | Physician Assistant | 1420 Millertown Rd, Rockholds, KY 40759-7640 | 2009-09-01 |
| 1801063698 | Lake Cumberland Surgical Consultants Psc | Physician Assistant | 350 Hospital Way Ste 270, Somerset, KY 42503-1875 | 2008-05-12 |
| 1235305905 | Michelle Denise Cole | Physician Assistant | 3240 Mount Moriah Ave, Owensboro, KY 42303-7805 | 2008-05-02 |
| 1629275011 | Beverly A. Hatcher | Physician Assistant | 1725 Ashley Cir Ste 211, Bowling Green, KY 42104-5820 | 2007-06-28 |
| 1639374465 | Neurosurgical Associates of Western Kentucky, Psc | Physician Assistant | 225 Medical Center Dr Ste 401, Paducah, KY 42003-7914 | 2007-06-20 |
| 1255463196 | Robert Louis Boden | Physician Assistant | 320 Skyview Dr, Paris, KY 40361-1039 | 2007-03-09 |
| 1043345358 | Professional Surgical Assistants, Inc. | Physician Assistant | 1945 Scottsville Rd Ste B2 Pmb 397, Bowling Green, KY 42104-5836 | 2007-02-23 |
| 1124161609 | Linda Mae Moran | Physician Assistant | 275 Wedgewood Place, Paducah, KY 42001 | 2007-02-15 |
| 1689710980 | Aimee Lynne Jaquez | Physician Assistant | 208 Chippewa Dr, Apt 106, Bowling Green, KY 42103-1378 | 2007-01-30 |
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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.