REID VAN BUSSUM (NPI# 1588270110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588270110 |
| Entity Type | Individual |
| Full Name | REID VAN BUSSUM |
| Practice Address |
913 Fiddler Creek Way Lexington KY 40515-6460 |
| Practice Telephone | 8593212487 |
| Mailing Telephone | 8593212487 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
913 FIDDLER CREEK WAY |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40515-6460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699620 | Cassandra Grace Reynolds | Occupational Therapy Assistant | 3900 Crosby Dr Apt 102, Lexington, KY 40515 | 2017-10-04 |
| 1447793401 | Audrey Mccall Logan | Counselor | 3479 Buckhorn Drive, Ste 106, Lexington, KY 40515 | 2016-11-23 |
| 1043760465 | Mary Lauren Elizabeth Willis | Pharmacist | 4251 Mooncoin Way, Lexington, KY 40515 | 2016-10-10 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1528480340 | Frances Ann Cook | Psychologist | 4105 Heartwood Rd, Lexington, KY 40515 | 2014-01-14 |
| 1245574532 | Patricia H Woodruff | Nurse Practitioner | 3030 Brookmonte Ln, Lexington, KY 40515 | 2012-11-27 |
| 1225381064 | Tiffany Kruger | Physical Therapist | 1092 Duval St Ste 210, Lexington, KY 40515 | 2012-10-17 |
| 1356698203 | Jessika Cordell Vance-morgan | Behavioral Analyst | 945 Darda Ct, Lexington, KY 40515 | 2012-08-09 |
| 1285915363 | Southern Office Solutions | Specialist | 5060 Ivybridge Dr., Lexington, KY 40515 | 2011-09-02 |
| 1578794426 | Emilie Carter | Social Worker | 1096 Duval St Ste 140, Lexington, KY 40515 | 2009-07-27 |
| Find all providers in zip 40515 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282095 | Alison Deanne Power | Physician Assistant | 3209 Keithshire Way, Lexington, KY 40503-3481 | 2020-10-09 |
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1689283731 | Corine Maria Van Gessel | Physician Assistant | 800 Rose Street Neonatal Intensive Care Unit, Lexington, KY 40536-0001 | 2020-07-24 |
| 1942827183 | Michael Dale Anthony Farran | Physician Assistant | 1401 Harrodsburg Rd Ste C405, Lexington, KY 40504-1748 | 2020-07-04 |
| 1033735204 | Melissa Mccool | Physician Assistant | 525 Red Taffy Way, Lexington, SC 29073-2907 | 2020-06-23 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1265056428 | Bernard L Bell | Physician Assistant | 838 Bryan Ave Apt 2, Lexington, KY 40505-3540 | 2020-06-03 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1548807985 | Sarah Michelle Kirsch | Physician Assistant | 740 S Limestone Fifth Floor Wing D Room L504, Lexington, KY 40536-8898 | 2019-12-04 |
| 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.