CCMH CORPORATION (NPI# 1528255692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528255692 |
| Entity Type | Organization |
| Organization Name | CCMH CORPORATION |
| Other Organization Name | CCMH SURGICAL PRACTICE |
| Practice Address |
309 11th St Carrollton KY 41008-1435 |
| Practice Telephone | 5027323299 |
| Mailing Telephone | 5027323230 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | MRS. SHEILA TOMLINSON (ADMINISTRATIVE COORDINATOR) |
| Authorized Official Telephone | 5027323230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000520557 | 01 |
| KY | PASSPORT ADVANTAGE | 2842264000 | 01 |
| KY | PASSPORT | 50014767 | 01 |
| KY | 7100031750 | 05 |
| Other Name | Type Code |
|---|---|
| CCMH Surgical Practice | 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 |
| 1982891057 | Ccmh Corporation | Clinic/Center | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1518154681 | Ccmh Corporation | Internal Medicine | 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1487832424 | James Thomas Ingram | Surgery | 391 Foggy Bottom Dr, Carrollton, GA 30116-8018 | 2008-02-01 |
| 1356526503 | North Texas Bariatric and General Surgery, P.a. | Surgery | 4333 N Josey Ln Ste 207, Carrollton, TX 75010-4631 | 2008-01-07 |
| 1851468011 | Frank Veninga | Surgery | 4333 N. Josey Ln, Suite # 207, Carrollton, TX 75010-4631 | 2006-11-30 |
| 1922187475 | Carrollton Surgical Associates LLC | Surgery | 309 Eleventh Street, Carrollton, KY 41008 | 2006-11-03 |
| 1497863211 | Jose E Espinel | Surgery | 157 Clinic Ave Ste 302, Carrollton, GA 30117 | 2006-08-29 |
| 1003256983 | Austin J Lewis | Surgery | 157 Clinic Ave Ste 302, Carrollton, GA 30117 | 2013-06-25 |
| 1982972600 | Peter Ramzy Md Pllc | Surgery | 4333 N Josey Ln Ste 207, Carrollton, TX 75010-4631 | 2011-12-08 |
| 1831357227 | Sameer Kumar Singh | Surgery | 4325 N Josey Ln Ste 206, Carrollton, TX 75010-4637 | 2008-06-02 |
| 1689744112 | Frank William Mocek | Surgery | 4325 N Josey Ln, Plaza IIi, Suite 202, Carrollton, TX 75010-4635 | 2006-11-09 |
| 1154418168 | Jeannine Marie Perrenoud | Surgery | 329 Floyd Dr, Carrollton, KY 41008-8261 | 2006-10-10 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 41008 |
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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.