DR. ANASTASIA A. S. JANDES (NPI# 1518111731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518111731 |
| Entity Type | Individual |
| Full Name | DR. ANASTASIA A. S. JANDES |
| Other Name | DR. ANASTASIA S KRYGIEL |
| Credential | MD |
| Practice Address |
220 W 5th St London KY 40741-1840 |
| Mailing Address |
Po Box 54448 Lexington KY 40555-4448 |
| Practice Telephone | 6066180125 |
| Practice Fax Number | 6066194209 |
| Mailing Telephone | 6066180125 |
| Mailing Fax Number | 6066194209 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 46380 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
46380 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100375100 | 05 |
| Street Address |
220 W 5TH ST |
| City | LONDON |
| State | KY |
| Zip Code | 40741-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992162465 | Restorative Wellness Clinic | Internal Medicine | 220 W 5th St, London, KY 40741-1840 | 2016-01-28 |
| 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 | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671637 | Discover Recovery, LLC | Internal Medicine | 2413 Ring Rd Ste 122, Elizabethtown, KY 42701-5936 | 2020-02-14 |
| 1033618897 | Lotus Rehab LLC | Internal Medicine | 104 Hardin Ln Ste B, Somerset, KY 42503-3800 | 2018-02-07 |
| 1396265989 | Kentucky Ohanna Initiative, Inc | Internal Medicine | 1795 Alysheba Way Ste 1001, Lexington, KY 40509-2282 | 2017-06-23 |
| 1538600630 | Cleanslate Medical Group of Kentucky Pllc | Internal Medicine | 210 E Gray St Ste 803, Louisville, KY 40202-3904 | 2017-03-09 |
| 1083093207 | Mat Prac Group, LLC | Internal Medicine | 204 S Floyd St, Box 8, Louisville, KY 40202-1208 | 2015-05-20 |
| 1194140772 | Stephanie Prater Walton | Internal Medicine | 14607 Woodlake Trce, Louisville, KY 40245-5134 | 2014-02-19 |
| 1457580003 | Thomas William Howard, IIi | Internal Medicine | 135 E Maxwell St Ste 401, Lexington, KY 40508-2617 | 2009-07-03 |
| 1477562536 | Sanjiv Gupta M.d. P.s.c. | Internal Medicine | 300 St Hwy 1947, Suite A, Grayson, KY 41143-1947 | 2006-08-07 |
| 1578533766 | Marvin A Bishop | Internal Medicine | 218 S Maple St, Winchester, KY 40391-2494 | 2006-01-23 |
| 1700870078 | Joanna L Santiesteban | Internal Medicine | 842 E Mountain Pkwy, Salyersville, KY 41465 | 2005-09-01 |
| Find all providers with the same taxonomy | ||||
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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.