DR. BRANDON ERIK GISH (NPI# 1558629410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558629410 |
Entity Type | Individual |
Full Name | DR. BRANDON ERIK GISH |
Credential | M.D. |
Practice Address |
101 Prosperous Pl Ste 300 Lexington KY 40509-1836 |
Mailing Address |
120 Executive Park Louisville KY 40207-4201 |
Practice Telephone | 8592755229 |
Practice Fax Number | 8599772683 |
Mailing Telephone | 5024099925 |
Mailing Fax Number | 5029199780 |
Enumeration Date | 2012-04-30 |
Last Update Date | 2019-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
49444 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AETNA PIN | 4979887 | 01 | |
KY | 7100275660 | 05 | |
IN | 300009866 | 05 | |
CARESOURCE ID | CS1724201468 | 01 | |
ANTHEM PIN | 000001085596 | 01 |
Street Address |
101 PROSPEROUS PL STE 300 |
City | LEXINGTON |
State | KY |
Zip Code | 40509-1836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427003524 | David Wendell Moore | Physician Assistant | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2006-05-24 |
1780190348 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2017-12-19 |
1962929307 | Crystal Jane Humphries | Nurse Practitioner | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2017-08-25 |
1780845347 | Anjum Bux, M.d., P.s.c. | Registered Nurse | 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | 2008-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
Find all providers in zip 40509 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689119570 | Commonwealth Integrity Pain Center Pllc | Anesthesiology | 3260 Blazer Pkwy Ste 102, Lexington, KY 40509-2116 | 2016-12-30 |
1992156400 | Arcis Healthcare, LLC | Anesthesiology | 109 Park Place Ct, Lexington, SC 29072-6690 | 2016-06-27 |
1700133311 | Pain Specialists of South Carolina | Anesthesiology | 200 Caughman Farm Ln, Suite A, Lexington, SC 29072-7342 | 2012-08-14 |
1750323366 | Central Kentucky Pain Professionals, Pllc | Anesthesiology | 2628 Wilhite Ct, Ste 101, Lexington, KY 40503-3327 | 2006-06-11 |
1083692982 | Timothy T Mims | Anesthesiology | 2443 Sir Barton Way Ste 275, Lexington, KY 40509 | 2006-01-03 |
1245238492 | Advanced Pain Medicine, Psc | Anesthesiology | 101 Prosperous Pl, Suite 300, Lexington, KY 40509-1882 | 2005-07-12 |
1548267222 | Zbigniew Rogozinski | Anesthesiology | 310 S Limestone Ste 100a, Lexington, KY 40508-3008 | 2005-07-07 |
1104468594 | Trident Pain Center P A | Anesthesiology | 4711 Sunset Blvd, Lexington, SC 29072-9151 | 2019-10-17 |
1740608124 | Anesthesiology Professionals of Columbia LLC | Anesthesiology | 104 Saluda Pointe Dr, Lexington, SC 29072-7295 | 2014-04-02 |
1790103232 | Robert Beesburg, LLC | Anesthesiology | 104 Saluda Pointe Dr, Lexington, SC 29072-7295 | 2014-04-02 |
Find all providers in LEXINGTON |
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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.