DR. GRIFFIN KEITH BICKING (NPI# 1467689844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467689844 |
| Entity Type | Individual |
| Full Name | DR. GRIFFIN KEITH BICKING |
| Credential | D.O. |
| Practice Address |
2603 Kentucky Ave Suite 105 Paducah KY 42003-3814 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 2704154802 |
| Practice Fax Number | 2704154835 |
| Mailing Telephone | 5022534900 |
| Mailing Fax Number | 5024895700 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2017-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
OS014170 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100212750 | 05 |
| Street Address |
2603 KENTUCKY AVE SUITE 105 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656658 | Theodore Edwin Clyde Davies | Neurological Surgery | 2603 Kentucky Ave, Ste 404, Paducah, KY 42003-3814 | 2005-06-01 |
| 1760873939 | Brandy Buckhalter | Nurse Practitioner | 2603 Kentucky Ave, Suite 105, Paducah, KY 42003-3814 | 2015-02-10 |
| 1699179895 | Baptist Health Medical Group Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2014-10-17 |
| 1568862951 | Amy Knees | Nurse Practitioner | 2603 Kentucky Ave, Suite 301, Paducah, KY 42003-3814 | 2014-09-04 |
| 1932519766 | Chadwick Bassi | Podiatrist | 2603 Kentucky Ave, Suite 105, Paducah, KY 42003-3814 | 2014-05-01 |
| 1679998140 | Jonathan Gipson | Nurse Practitioner | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2014-02-20 |
| 1962832295 | Western Baptist Medical Ventures, Inc | Nurse Practitioner | 2603 Kentucky Ave, Suite 201, Paducah, KY 42003-3814 | 2013-11-22 |
| 1487924353 | Thomas James Gruber | Neurological Surgery | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2012-01-09 |
| 1013229368 | William Lee Titsworth | Neurological Surgery | 2603 Kentucky Ave, Suite 402, Paducah, KY 42003-3814 | 2010-07-01 |
| 1568699478 | Western Baptist Medical Ventures, Inc | Clinical Nurse Specialist | 2603 Kentucky Ave, Suite 304, Paducah, KY 42003-3814 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447457247 | Sara Lynnea Cederstrand | Surgery | 1532 Lone Oak Road, Suite 405, Paducah, KY 42003-7942 | 2007-06-27 |
| 1598095929 | Victoria Ivanukoff | Surgery | 1532 Lone Oak Rd Ste 405, Paducah, KY 42003-7942 | 2010-01-07 |
| 1821280967 | Western Baptist Medical Ventures, Inc | Surgery | 2603 Kentucky Ave, Suite 103, Paducah, KY 42003-3814 | 2007-08-13 |
| 1972669422 | Scott J. Sanders | Surgery | 1532 Lone Oak Rd, Suite 405, Paducah, KY 42003-7913 | 2006-12-29 |
| 1497862080 | Vascular Associates, Pllc | Surgery | 2601 Kentucky Avenue, Suite #202, Paducah, KY 42003-3825 | 2006-08-23 |
| 1538177084 | Michael James Jones | Surgery | 2601 Kentucky Avenue, Suite #202, Paducah, KY 42003-3825 | 2006-08-03 |
| 1851397061 | Timothy J Ranval | Surgery | 1532 Lone Oak Rd, Ste 405, Paducah, KY 42003-7913 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658622 | Center for Vein Restoration Ky, LLC | Surgery | 2054 E Parrish Ave Ste A, Owensboro, KY 42303-1448 | 2016-09-23 |
| 1699066803 | Narayan Venguswamy Psc | Surgery | 1140 Lexington Rd # 101, Georgetown, KY 40324-9330 | 2011-04-21 |
| 1073833950 | Chen Rubinstein | Surgery | Cardiac Surgery of South Central Ky, 350 Park St Suite 210, Bowling Green, KY 42101 | 2010-06-02 |
| 1396064796 | Dong Hee Lee | Surgery | 800 Rose St # C225, Lexington, KY 40536-7001 | 2010-05-25 |
| 1053638734 | Samuel Chand Tyagi | Surgery | 800 Rose St # C212, Lexington, KY 40536-7001 | 2010-04-21 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| 1639251655 | Glenn Earl Lambert II | Surgery | 3991 Dutchmans Ln Ste 103, Suburban Medical Plaza II, Louisville, KY 40207-4732 | 2006-10-19 |
| 1649360413 | Thomas Wright Klamer | Surgery | 3991 Dutchmans Lane, #103, Louisville, KY 40207-1363 | 2006-10-13 |
| 1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
| 1962432187 | Commonwealth Health Corporation, Inc | Surgery | 825 2nd Ave Ste B1, Bowling Green, KY 42101-1790 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. GRIFFIN KEITH BICKING.
| 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.