SAGE OTOLARYNGOLOGY PLLC (NPI# 1548378680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548378680 |
| Entity Type | Organization |
| Organization Name | SAGE OTOLARYNGOLOGY PLLC |
| Practice Address |
1010 Medical Center Dr Powderly KY 42367-5463 |
| Mailing Address |
10440 Queens Blvd 11v Forest Hills NY 11375-3637 |
| Practice Telephone | 9178464617 |
| Mailing Telephone | 9178464617 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2010-06-09 |
| Authorized Official Name | DR. BORIS CHERNOBILSKY (MEMBER) |
| Authorized Official Telephone | 9178464617 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
1010 MEDICAL CENTER DR |
| City | POWDERLY |
| State | KY |
| Zip Code | 42367-5463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695815 | Eric L Bandy | Internal Medicine | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2005-08-01 |
| 1306327168 | Brittany Nicole Grega | Physician Assistant | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2018-08-28 |
| 1477048684 | Baptist Health Medical Group Inc | Clinic/Center | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2018-06-29 |
| 1477076487 | Brandi E Kost | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2017-07-21 |
| 1639620859 | Timothy I Durbin | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2016-10-24 |
| 1689124141 | Crystal Lynn Ward | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367 | 2016-10-09 |
| 1639534241 | Jessica Leigh Anderson-brown | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2015-12-24 |
| 1154728079 | Brittany Blue | Physical Therapist | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2014-11-20 |
| 1235553991 | Sandi Walker | Physical Therapist | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2014-02-14 |
| 1881037323 | Jane Hope Reed | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487824553 | Stephen Wood, Od | Optometrist | 609 W Main, Powderly, KY 42367 | 2008-03-05 |
| 1124029160 | Brian Wayne Chaney | Internal Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-01 |
| 1518959923 | Cheri Lynn Fogle | Nurse Practitioner | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-22 |
| 1023019130 | Ms Community Health LLC | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-10 |
| 1841291390 | Gary D Givens | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-09 |
| 1073514030 | Kristy G Chappell | Family Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-02 |
| 1952453813 | George Stephen Wood | Optometrist | 609 West Main St, Powderly, KY 42367-0100 | 2007-01-18 |
| 1700194388 | Oh Muhlenberg, LLC | Clinic/Center | 2025 W Everly Brothers Blvd Ste 2a, Powderly, KY 42367-5401 | 2010-09-17 |
| 1144281791 | Mark A. Tackett | Family Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2006-03-31 |
| 1144228040 | Terry Lynn Mcpherson | Physician Assistant | 2025 W Everly Brothers Blvd Ste 1a, Powderly, KY 42367-5401 | 2005-07-13 |
| Find all providers in zip 42367 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1891227666 | Kaitlin July O'brien | Otolaryngology | 740 South Limestone C 300, Lexington, KY 40536-0001 | 2017-03-31 |
| 1568993509 | Christopher Rayle | Otolaryngology | 800 Rose St Rm C-236, Lexington, KY 40536 | 2017-03-22 |
| 1598127094 | Nicole C Craker | Otolaryngology | University of Kentucky 800 Rose St Rm C-236, Lexington, KY 40536-3058 | 2016-03-23 |
| 1659755502 | Ryan Neff | Otolaryngology | 740 S Limestone; C300, Lexington, KY 40536-0293 | 2015-07-09 |
| 1396126017 | Adam Vanhorn | Otolaryngology | Uk Otolaryngology, 800 Rose Street Room C236, Lexington, KY 40536-0293 | 2015-06-18 |
| 1386057818 | Adiavni LLC | Otolaryngology | 280 Cumberland Trace Rd, Apt. 417, Bowling Green, KY 42103-9099 | 2014-06-02 |
| 1215366364 | Larry Joe Hall | Otolaryngology | 790 North Dixie Suite 800, Elizabethtown, KY 42701 | 2013-11-08 |
| 1710321963 | Caitlin Fiorillo | Otolaryngology | 740 South Limestone C300, Lexington, KY 40536-0001 | 2013-04-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAGE OTOLARYNGOLOGY PLLC.
| 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.