SERVING SIDE BY SIDE, LLC (NPI# 1538786488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538786488 |
| Entity Type | Organization |
| Organization Name | SERVING SIDE BY SIDE, LLC |
| Practice Address |
320 Old Somerset Stanford Rd Eubank KY 42567-6717 |
| Practice Telephone | 6067640114 |
| Practice Fax Number | 6062067656 |
| Mailing Telephone | 6067640114 |
| Mailing Fax Number | 6062067656 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | DR. DASEN RITCHEY (PHYSICIAN) |
| Authorized Official Telephone | 6067640114 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
320 OLD SOMERSET STANFORD RD |
| City | EUBANK |
| State | KY |
| Zip Code | 42567-6717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907237 | Dasen R Ritchey | Surgery | 320 Old Somerset Stanford Rd, Eubank, KY 42567-6717 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922582410 | Family Health Care Associates 3 | Clinic/Center | 1025 N Stilesville Rd, Eubank, KY 42567 | 2018-09-20 |
| 1689852170 | Combs Residential Service, Inc. | Clinic/Center | 11455 North Highway 27, Eubank, KY 42567 | 2008-02-06 |
| 1902128614 | Amanda Dawn Fugate | Dietitian, Registered | 253 Hurst Ln, Eubank, KY 42567-5208 | 2010-02-22 |
| 1003950338 | Lake Cumberland District Health Dept | Public Health or Welfare | 285 W Highway 70, Eubank, KY 42567-7536 | 2007-02-19 |
| 1871051235 | Ohana, LLC | Community Based Residential Treatment Facility, Mental Illness | 170 N Shady Ln, Eubank, KY 42567-7659 | 2019-03-05 |
| 1174070643 | Shenea Wallin | Social Worker | 3110 Old Bull Rd, Eubank, KY 42567-7773 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871051235 | Ohana, LLC | Community Based Residential Treatment Facility, Mental Illness | 170 N Shady Ln, Eubank, KY 42567-7659 | 2019-03-05 |
| 1922582410 | Family Health Care Associates 3 | Clinic/Center | 1025 N Stilesville Rd, Eubank, KY 42567 | 2018-09-20 |
| 1174070643 | Shenea Wallin | Social Worker | 3110 Old Bull Rd, Eubank, KY 42567-7773 | 2016-09-01 |
| 1902128614 | Amanda Dawn Fugate | Dietitian, Registered | 253 Hurst Ln, Eubank, KY 42567-5208 | 2010-02-22 |
| 1689852170 | Combs Residential Service, Inc. | Clinic/Center | 11455 North Highway 27, Eubank, KY 42567 | 2008-02-06 |
| 1003950338 | Lake Cumberland District Health Dept | Public Health or Welfare | 285 W Highway 70, Eubank, KY 42567-7536 | 2007-02-19 |
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197388 | Pmr Us Holdings, LLC | Family Medicine | 3939 7th Street Rd, Louisville, KY 40216-4103 | 2018-09-12 |
| 1508288572 | University of Louisville Research Foundation Inc | Family Medicine | 401 E Chestnut St, Suite 170, Louisville, KY 40202-5700 | 2014-01-10 |
| 1497186639 | University of Louisville Research Foundation | Family Medicine | 1941 Bishop Ln, Suite 900, Louisville, KY 40218-1922 | 2013-12-12 |
| 1376974725 | University of Louisville Research Foundation | Family Medicine | 530 S Jackson St, Louisville, KY 40202-1675 | 2013-12-11 |
| 1073957163 | Brittany Calico | Family Medicine | 1500 James Simpson Jr Way, Covington, KY 41011 | 2013-04-19 |
| 1073879755 | University of Louisville Physicians, Inc. | Family Medicine | 215 Central Ave, Suite 102, Louisville, KY 40208-1449 | 2012-04-06 |
| 1245453059 | Mara Tomaszewski | Family Medicine | 1500 James Simpson Jr Way, Covington, KY 41011 | 2007-04-10 |
| 1619003951 | Laura Morton | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208-1450 | 2007-02-23 |
| 1639217888 | Linda Uhrg Hitchcock | Family Medicine | 1701 Central Ave, Ashland, KY 41101-7767 | 2007-02-01 |
| 1114064912 | U of L Research Foundation | Family Medicine | 501 E Broadway, Ste 120, Louisville, KY 40202-1785 | 2007-01-31 |
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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.