VASCULAR INSTITUTE OF KENTUCKY PSC (NPI# 1588835037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588835037 |
| Entity Type | Organization |
| Organization Name | VASCULAR INSTITUTE OF KENTUCKY PSC |
| Practice Address |
617 23rd St Ste. 445 Ashland KY 41101-2880 |
| Mailing Address |
Po Box 2058 Ashland KY 41105-2058 |
| Practice Telephone | 6063241070 |
| Practice Fax Number | 6063241071 |
| Mailing Telephone | 6063241070 |
| Mailing Fax Number | 6063241071 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | ALEXANDER H HOU (PRESIDENT) |
| Authorized Official Telephone | 6063241070 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009186 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
39066 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2557255 | 05 | |
| KY | 64100548 | 05 | |
| RR MEDICARE | P00335402 | 01 | |
| FEDERAL MEDICARE GROUP | 9966 | 01 | |
| ANTHEM BCBS | 000000392596 | 01 | |
| WV | 3810007120 | 05 |
| Street Address |
617 23RD ST STE. 445 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512133 | Dana Allen Johnson | Internal Medicine | 617 23rd St, Suite 19, Ashland, KY 41101-2845 | 2005-07-20 |
| 1023472909 | Ryan Johnson | Emergency Medicine | 617 23rd St, Ashland, KY 41101-2880 | 2016-04-07 |
| 1730555426 | Thomas L Mahoney, Md, Pllc | Specialist | 617 23rd St, Suite 415, Ashland, KY 41101-2880 | 2015-08-17 |
| 1275938904 | Jacqueline Nicole Stumbo | Nurse Practitioner | 617 23rd St, Suite 11, Ashland, KY 41101-2880 | 2014-10-23 |
| 1285999615 | Miranda Diane Davis | Nurse Practitioner | 617 23rd St, Suite415, Ashland, KY 41101-2880 | 2012-07-11 |
| 1417233909 | Labone of Ohio Inc | Clinical Medical Laboratory | 617 23rd St, Ste 415, Ashland, KY 41101-0000 | 2011-10-27 |
| 1326342304 | Jerald M. Ford, M.d., Psc | Obstetrics & Gynecology | 617 23rd St, Suite 415, Ashland, KY 41101-2880 | 2011-01-05 |
| 1023271913 | Chad Jacob Tarabolous | Internal Medicine | 617 23rd St, Suite 19, Ashland, KY 41101-2880 | 2008-07-09 |
| 1770752123 | Ashland Center for Women's Health | Non-Pharmacy Dispensing Site | 617 23rd St, Ste 415, Ashland, KY 41101-2880 | 2008-02-29 |
| 1194904490 | Ashland Plastic Surgery Inc Psc | Plastic Surgery | 617 23rd St, Ashland, KY 41101-2880 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710392071 | Abdallah Naddaf | Surgery | 613 23rd St Ste 140, Ashland, KY 41101 | 2014-06-25 |
| 1053559617 | Kentucky Heart Institute | Surgery | 613 23rd St, Suite G-10, Ashland, KY 41101-2878 | 2009-02-04 |
| 1083664254 | Omran Riad Abul-khoudoud | Surgery | 613 23rd St, Ste 140, Ashland, KY 41101-2878 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658622 | Center for Vein Restoration Ky, LLC | Surgery | 2054 E Parrish Ave Ste A, Owensboro, KY 42303-1448 | 2016-09-23 |
| 1699066803 | Narayan Venguswamy Psc | Surgery | 1140 Lexington Rd # 101, Georgetown, KY 40324-9330 | 2011-04-21 |
| 1073833950 | Chen Rubinstein | Surgery | Cardiac Surgery of South Central Ky, 350 Park St Suite 210, Bowling Green, KY 42101 | 2010-06-02 |
| 1396064796 | Dong Hee Lee | Surgery | 800 Rose St # C225, Lexington, KY 40536-7001 | 2010-05-25 |
| 1053638734 | Samuel Chand Tyagi | Surgery | 800 Rose St # C212, Lexington, KY 40536-7001 | 2010-04-21 |
| 1447457247 | Sara Lynnea Cederstrand | Surgery | 1532 Lone Oak Road, Suite 405, Paducah, KY 42003-7942 | 2007-06-27 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| 1639251655 | Glenn Earl Lambert II | Surgery | 3991 Dutchmans Ln Ste 103, Suburban Medical Plaza II, Louisville, KY 40207-4732 | 2006-10-19 |
| 1649360413 | Thomas Wright Klamer | Surgery | 3991 Dutchmans Lane, #103, Louisville, KY 40207-1363 | 2006-10-13 |
| 1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VASCULAR INSTITUTE OF KENTUCKY PSC.
| 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.