INTERNAL MEDICINE ASSOCIATES OF KY PSC (NPI# 1396774048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396774048 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE ASSOCIATES OF KY PSC |
| Other Organization Name | INTERNAL MEDICINE ASSOCIATES OF KY PSC |
| Practice Address |
2135 Highway 30 Byp Suite 1 London KY 40741-6139 |
| Practice Telephone | 6068642179 |
| Mailing Telephone | 6068642179 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GINA DCOSTA (DOCTOR) |
| Authorized Official Telephone | 6068642179 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
39044 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64094576 | 05 |
| Other Name | Type Code |
|---|---|
| Internal Medicine Associates of KY PSC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295767556 | Internal Medicine Associates of Ky Psc | Nurse Practitioner | 2135 Highway 30, Suite 1, London, KY 40741-6139 | 2006-07-07 |
| Street Address |
2135 HIGHWAY 30 BYP SUITE 1 |
| City | LONDON |
| State | KY |
| Zip Code | 40741-6139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370369 | Ashu Tosh Joshi | Internal Medicine | 2135 Highway 30 Byp, Suite 1, London, KY 40741-6139 | 2005-07-15 |
| 1730595018 | Kevin Lee Swanner | Nurse Practitioner | 2135 Highway 30 Byp, Suite 1, London, KY 40741-6139 | 2014-07-07 |
| 1114267135 | Brandy Jean Lasley | Nurse Practitioner | 2135 Highway 30 Byp, Ste 1, London, KY 40741-6139 | 2013-02-28 |
| 1629341334 | Chelsey Blake Philpot | Nurse Practitioner | 2135 Highway 30 Byp, Suite 2, London, KY 40741-6139 | 2012-02-13 |
| 1932391976 | Pyma Medical Pllc | Nurse Practitioner | 2135 Highway 30 Byp, Suite 2, London, KY 40741-6139 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023381381 | Integrity Medical Group, LLC | Internal Medicine | 2384 Petersburg Rd, Hebron, KY 41048-9557 | 2012-02-17 |
| 1548424385 | Katrina Ann Booth | Internal Medicine | 50 E Rivercenter Blvd Ste 434, Covington, KY 41011-1660 | 2008-07-10 |
| 1912912734 | Glk Enterprises, LLC | Internal Medicine | 104 Mohawk Street, Brownsville, KY 42210 | 2006-07-30 |
| 1912958554 | Elizabeth A Toms | Internal Medicine | 270 Burley Ave, Hopkinsville, KY 42240-8725 | 2006-05-15 |
| 1487657268 | Subir Ghosh | Internal Medicine | 832 Hwy 15 North, Jackson, KY 41339-8601 | 2005-05-24 |
| 1992266092 | Mohamad Belal Aldaas | Internal Medicine | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-29 |
| 1700142429 | University of Louisville Research Foundation | Internal Medicine | 215 Central Ave, Suite 102, Louisville, KY 40208-1449 | 2012-04-06 |
| 1922371988 | Pattie A Clay Infirmary Assn. | Internal Medicine | 789 Eastern Byp, Suite 11, Richmond, KY 40475-2415 | 2012-02-21 |
| 1902036825 | Kentuckiana Geriatric and Palliative Services Pllc | Internal Medicine | 802 Overhill Dr, Business Office, Shepherdsville, KY 40165-7252 | 2009-07-27 |
| 1750555462 | Alliance Primary Care | Internal Medicine | 7380 Turfway Rd, Florence, KY 41042-1355 | 2008-04-15 |
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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.