SPECIALTY PHYSICIAN ASSISTANT,LLC (NPI# 1528484037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528484037 |
| Entity Type | Organization |
| Organization Name | SPECIALTY PHYSICIAN ASSISTANT,LLC |
| Other Organization Name | RUSSELL FORK WALK-IN CLINIC |
| Practice Address |
10363 Regina Belcher Hwy Medical Clinic Suite 2 Elkhorn City KY 41522-8510 |
| Mailing Address |
158 Windward Ln Pikeville KY 41501-3316 |
| Practice Telephone | 6064224764 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | NICHOL BURCHFIELD (OWNER/MEMBER) |
| Authorized Official Telephone | 6064224764 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | KY | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363A00000X | Physician Assistant | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 261Q00000X | Clinic/Center | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Russell Fork Walk-In Clinic | Doing Business As Name - Organization |
| Street Address |
10363 REGINA BELCHER HWY MEDICAL CLINIC SUITE 2 |
| City | ELKHORN CITY |
| State | KY |
| Zip Code | 41522-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295361426 | Patricia Lynn Adams | Family Medicine | 10363 Regina Belcher Hwy, Elkhorn City, KY 41522-8510 | 2020-03-19 |
| 1740793140 | Ramey Family Practice Pllc | Family Medicine | 10363 Regina Belcher Hwy, Elkhorn City, KY 41522-8510 | 2017-11-08 |
| 1164851366 | On Site Screening, LLC | Clinic/Center | 10363 Regina Belcher Hwy, Ste 101, Elkhorn City, KY 41522-8510 | 2013-11-07 |
| 1831444629 | Marrowbone Family Clinic Pllc | Family Medicine | 10363 Regina Belcher Hwy, Elkhorn City, KY 41522 | 2012-07-17 |
| 1033470034 | Marrowbone Family Pharmacy | Pharmacy | 10363 Regina Belcher Hwy, Elkhorn City, KY 41522 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392841 | Westcare Kentucky Inc | Substance Abuse Rehabilitation Facility | 5971 Poor Bottom Road, Elkhorn City, KY 41522 | 2020-10-02 |
| 1417224239 | Crystal Lovella Branham | Nurse Practitioner | 112 East Street, Elkhorn City, KY 41522 | 2011-11-22 |
| 1356628648 | Wellness Center of Elkhorn City | Clinic/Center | 17401 Hwy 80e, Elkhorn City, KY 41522 | 2011-11-15 |
| 1437285533 | Pike County Health Department Elkhorn | Public Health or Welfare | 551 Russell Street, Elkhorn City, KY 41522 | 2007-02-26 |
| 1922143213 | Jenkins Community Hospital Dba Jenkins Community Hospital | Clinic/Center | 257 Russell Street, Elkhorn City, KY 41522 | 2007-02-21 |
| 1396891347 | James David Justice | Dentist | 155 East Main Street, Elkhorn City, KY 41522 | 2007-01-25 |
| 1568514354 | Rebecca Jo Anderson | Dentist | 170 West Fifth Street, Elkhorn City, KY 41522 | 2007-01-18 |
| 1770633018 | Mary Anne Belcher | Optometrist | 20 Spring Ave, Elkhorn City, KY 41522 | 2007-01-11 |
| 1831272491 | Larry W Lynn | Dentist | 919 Elkhorn Creek Road, Elkhorn City, KY 41522 | 2006-10-24 |
| 1801978820 | Robert Lancer Lester | Pharmacist | 112 E. Main St., Elkhorn City, KY 41522 | 2006-10-19 |
| Find all providers in zip 41522 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356628648 | Wellness Center of Elkhorn City | Clinic/Center | 17401 Hwy 80e, Elkhorn City, KY 41522 | 2011-11-15 |
| 1922143213 | Jenkins Community Hospital Dba Jenkins Community Hospital | Clinic/Center | 257 Russell Street, Elkhorn City, KY 41522 | 2007-02-21 |
| 1043454168 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 905 W Russell St, Elkhorn City, KY 41522-7071 | 2009-04-21 |
| 1093903080 | Wellmont Health System | Clinic/Center | 257 Russell Street, Elkhorn City, KY 41522 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1083192595 | Carson Black Lung Center of Pineville, Inc. | Clinic/Center | 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452 | 2018-08-06 |
| 1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1245747674 | Phaup Chiropractic Center, LLC | Clinic/Center | 95 Ymca Dr Ste A, Madisonville, KY 42431-9035 | 2018-01-08 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1740717818 | Jones-o'neal Enterprises, Pllc | Clinic/Center | 135 Morgan St, Versailles, KY 40383-1428 | 2017-05-18 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
| City | ELKHORN CITY |
| Zip Code | 41522 |
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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.