ZACHARY DUANE UNDERWOOD (NPI# 1386893840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386893840 |
| Entity Type | Individual |
| Full Name | ZACHARY DUANE UNDERWOOD |
| Credential | DO |
| Practice Address |
Us 23 At Indianola Ave South Shore KY 41175 |
| Mailing Address |
Po Box 2155 Ashland KY 41105-2155 |
| Practice Telephone | 6069323150 |
| Practice Fax Number | 6069323159 |
| Mailing Telephone | 6068334922 |
| Mailing Fax Number | 6068334668 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 03306 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 58002603 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000669303 | 01 |
| KY | 7100123500 | 05 | |
| OH | 2995362 | 05 |
| Street Address |
US 23 AT INDIANOLA AVE |
| City | SOUTH SHORE |
| State | KY |
| Zip Code | 41175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387523 | Karen Palmer | Home Health Aide | 72 Kingsway Drive, South Shore, KY 41175 | 2018-12-10 |
| 1962775569 | Greenup County Health Dept | Public Health or Welfare | 425 James Hannah Drive, Suite 2, South Shore, KY 41175 | 2012-02-14 |
| 1891083036 | Lewis County Primary Care Center, Inc. | Clinic/Center | 142 Depot Street, South Shore, KY 41175 | 2011-07-20 |
| 1740435445 | Bellefonte Physician Services, Inc. | Internal Medicine | Us 23 At Indianola Ave., South Shore, KY 41175 | 2008-11-21 |
| 1548471659 | Amber Blanton-mccalvin Chiropractic, Inc. | Chiropractor | 28350 U.S. 23, South Shore, KY 41175 | 2007-05-24 |
| 1255494928 | Philip E Brown | Dentist | 126 Biggs Lane, South Shore, KY 41175 | 2006-12-18 |
| 1053498592 | Premier Therapy and Health Ctrs Inc | Clinic/Center | Halls Building Us 23, South Shore, KY 41175 | 2006-11-01 |
| 1144306150 | Wright Care Home Medical Supplies,inc. | Durable Medical Equipment & Medical Supplies | 74 Biggs Lane, South Shore, KY 41175 | 2006-10-31 |
| 1255416384 | Jerry Wayne Iery | Physician Assistant | 142 Depot Dr, South Shore, KY 41175 | 2006-10-26 |
| 1649200072 | Jennifer L. Atkins | Physician Assistant | Us 23 At Indianola Avenue, South Shore, KY 41175 | 2006-07-03 |
| Find all providers in zip 41175 | ||||
| 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 |
|---|---|---|---|---|
| 1245273937 | Ashland Hospital Corporation | Family Medicine | Us 23 South, South Shore, KY 41175 | 2006-06-13 |
| 1124036355 | Our Lady of Bellefonte Hospital | Family Medicine | Us 23 At Indianola Avenue, South Shore, KY 41175 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SHORE |
| Zip Code | 41175 |
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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.