CCMH CORPORATION (NPI# 1518154681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518154681 |
| Entity Type | Organization |
| Organization Name | CCMH CORPORATION |
| Other Organization Name | CARROLLTON MEDICAL ASSOCIATES |
| Practice Address |
309 11th St Carrollton KY 41008-1435 |
| Practice Telephone | 5027323278 |
| Mailing Telephone | 5027323278 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | MRS. SHEILA TOMLINSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 5027323278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000520548 | 01 |
| KY | PASSPORT ADVANTAG | 2842260001 | 01 |
| KY | PASSPORT | 50014783 | 01 |
| KY | 7100020480 | 05 |
| Other Name | Type Code |
|---|---|
| Carrollton Medical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598798407 | Ccmh Corporation | Family Medicine | 202 Franklin Street, Warsaw, KY 41095 | 2006-07-07 |
| 1780075911 | Ccmh Corporation | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2015-02-10 |
| 1972739993 | Ccmh Corporation | Nurse Anesthetist, Certified Registered | 309 11th St, Carrollton, KY 41008-1435 | 2009-06-04 |
| 1528255692 | Ccmh Corporation | Surgery | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1982891057 | Ccmh Corporation | Clinic/Center | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1003030487 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1558585091 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1194949578 | Ccmh Corporation | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1225159601 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-03 |
| Street Address |
309 11TH ST |
| City | CARROLLTON |
| State | KY |
| Zip Code | 41008-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447240262 | Daniel A Shields | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2005-10-24 |
| 1508411562 | Kimberly Lane Smith | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-08-07 |
| 1598227175 | Toni Nicole Wright | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-04-03 |
| 1982184925 | Commonwealth Pain Associates Pllc | Durable Medical Equipment & Medical Supplies | 309 11th St, Carrollton, KY 41008-1435 | 2018-08-20 |
| 1801324363 | William Clark | Pharmacist | 309 11th St, Carrollton, KY 41008-1435 | 2017-05-30 |
| 1629422886 | Amber Adcock | Nurse Practitioner | 309 11th St, Carrollton, KY 41008 | 2016-04-14 |
| 1518339423 | Green Fern Emergency Physicians, LLC | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2015-10-30 |
| 1780075911 | Ccmh Corporation | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2015-02-10 |
| 1598107112 | Amanda Davis | Dietitian, Registered | 309 11th St, Carrollton, KY 41008-1435 | 2013-07-24 |
| 1851645501 | Erica A. Chowning | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2012-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233039 | Brett T Gibson | Chiropractor | 2519 Hwy 227 Unit D, Carrollton, KY 41008 | 2016-09-15 |
| 1326382136 | Carroll County Board of Education | Local Education Agency (LEA) | 813 Hawkins St, Carrollton, KY 41008 | 2012-11-16 |
| 1114229234 | Sy Dan Nguyen, Psc | Dentist | 2551 Us Highway 27, Carrollton, KY 41008 | 2010-11-22 |
| 1447300660 | Webster Drugs, Inc. | Pharmacist | Parklane Shopping Center, Carrollton, KY 41008 | 2007-01-11 |
| 1629139522 | Carroll County Medical Advisors Lp | General Acute Care Hospital | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1912073719 | Philip V Habas Dmd Psc | Dentist | 1209 Highland Ave, Suite L, Carrollton, KY 41008 | 2006-11-27 |
| 1447320353 | Carrollton Medical Associates | Internal Medicine | 307 Eleventh Street, Carrollton, KY 41008 | 2006-11-08 |
| 1922187475 | Carrollton Surgical Associates LLC | Surgery | 309 Eleventh Street, Carrollton, KY 41008 | 2006-11-03 |
| 1194818609 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 205 Marwill Dr, Carrollton, KY 41008 | 2006-10-02 |
| 1093819427 | John Thornton Newcomb | Dentist | 1714 Highland Ave., Carrollton, KY 41008 | 2006-09-07 |
| Find all providers in zip 41008 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1942716121 | Canopusmd, Pllc | Internal Medicine | 4221 Medical Pkwy Ste 150, Carrollton, TX 75010-4545 | 2017-12-24 |
| 1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
| 1699192633 | Md & Np House Visits LLC | Internal Medicine | 1520 Blue Mesa Rd, Carrollton, TX 75007-6022 | 2014-03-27 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1326343757 | Charlotte Freeland | Internal Medicine | 2227 High Country Dr, Carrollton, TX 75007-1701 | 2011-01-15 |
| 1538483128 | Metroplex Visiting Physicians | Internal Medicine | 2501 E Hebron Pkwy Suite 100, Carrollton, TX 75010-4468 | 2010-03-25 |
| 1386872950 | Lauren West Yancey | Internal Medicine | 158 Clinic Avenue, Carrollton, GA 30117-4414 | 2009-06-23 |
| 1316193741 | Maryview Hospital | Internal Medicine | 13609 Carrollton Blvd Ste 11, Carrollton, VA 23314-3214 | 2008-08-18 |
| 1346428257 | William Curtis Irby | Internal Medicine | 123 Hampton Way, Carrollton, GA 30116-8977 | 2008-02-01 |
| 1417139361 | Kathryn Virginia Bain | Internal Medicine | 905 Dixie Street, Carrollton, GA 30117-4454 | 2007-12-03 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 41008 |
Please comment or provide details below to improve the information on CCMH CORPORATION.
| 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.