CCMH CORPORATION (NPI# 1598798407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598798407 |
| Entity Type | Organization |
| Organization Name | CCMH CORPORATION |
| Other Organization Name | WARSAW FAMILY PRACTICE |
| Practice Address |
202 Franklin Street Warsaw KY 41095 |
| Mailing Address |
309 11th St Carrollton KY 41008-1435 |
| Practice Telephone | 8595672754 |
| Practice Fax Number | 8595675108 |
| Mailing Telephone | 5027323230 |
| Mailing Fax Number | 5027323297 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | SHEILA TOMLINSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 5027323278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 01031469 | IN | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 23459 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3284P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 18145 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100156490 | 05 | |
| KY | PASSPORT | 50030472 | 01 |
| KY | ANTHEM | 000000697014 | 01 |
| KY | 7100145920 | 05 |
| Other Name | Type Code |
|---|---|
| Warsaw Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780075911 | Ccmh Corporation | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2015-02-10 |
| 1972739993 | Ccmh Corporation | Nurse Anesthetist, Certified Registered | 309 11th St, Carrollton, KY 41008-1435 | 2009-06-04 |
| 1528255692 | Ccmh Corporation | Surgery | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1982891057 | Ccmh Corporation | Clinic/Center | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1518154681 | Ccmh Corporation | Internal Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2007-10-02 |
| 1003030487 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1558585091 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1194949578 | Ccmh Corporation | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-13 |
| 1225159601 | Ccmh Corporation | General Acute Care Hospital | 309 11th St, Carrollton, KY 41008-1435 | 2007-04-03 |
| Street Address |
202 FRANKLIN STREET |
| City | WARSAW |
| State | KY |
| Zip Code | 41095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440070 | Angela Harmon | Nurse Practitioner | 202 Franklin Street, Warsaw, KY 41095 | 2019-01-09 |
| 1164847562 | Rhonda Moore | Nurse Practitioner | 202 Franklin Street, Warsaw, KY 41095 | 2014-02-22 |
| 1215956644 | Christina A. Johnson | Family Medicine | 202 Franklin Street, Warsaw Family Practice, Warsaw, KY 41095-4304 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346382942 | Richard J Ackermann | Dentist | 100 W High St, Warsaw, KY 41095 | 2007-02-12 |
| 1275691784 | Foot Specialists of Greater Cincinnati | Podiatrist | 300 Main Cross, Warsaw, KY 41095 | 2006-12-05 |
| 1184681686 | Gallatin County Fiscal Court | Ambulance | 400 Main Cross, Warsaw, KY 41095 | 2006-04-27 |
| 1780652750 | Eric William Schneeberger | General Practice | 441 Hwy 42w, Warsaw, KY 41095 | 2006-03-08 |
| 1174594865 | Leslie Jo Cooper | Nurse Practitioner | 302 West Main St, Warsaw, KY 41095 | 2006-01-30 |
| 1215313036 | Jasmine Birchall | Nurse Practitioner | 441 Hwy 42w, Warsaw, KY 41095 | 2015-08-04 |
| 1124309943 | Warsaw Family Medicine | Family Medicine | 302 West Main Street, Warsaw, KY 41095 | 2011-09-07 |
| 1801123831 | Cindy Haines | Nurse Practitioner | 441 Us Highway 42 W, Warsaw, KY 41095 | 2009-11-12 |
| 1538319546 | Lesley Nicole Wespesser | Counselor | 441 Hwy 42w, Warsaw, KY 41095 | 2008-09-26 |
| 1831302587 | Home Pharmacy Solutions, LLC | Durable Medical Equipment & Medical Supplies | 102 West Main St, Suite C, Warsaw, KY 41095 | 2007-05-08 |
| Find all providers in zip 41095 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205948486 | Warsaw Health System LLC | Family Medicine | 1210 Provident Dr, Suite B, Warsaw, IN 46580-3266 | 2006-08-31 |
| 1730101759 | Robert Theodore Longshore | Family Medicine | 870 Us Hwy 42 W, Warsaw, KY 41095-9323 | 2006-07-25 |
| 1427083435 | Qutubuddin Karamat Dar | Family Medicine | 31 Duncan St, Suite 1, Warsaw, NY 14569-1017 | 2006-07-11 |
| 1063448231 | Abayomi S Adediran | Family Medicine | 113 S Pine St, Warsaw, NC 28398-1924 | 2006-06-22 |
| 1972546927 | Erin B Jungbauer | Family Medicine | 1210 Provident Drive, Ste B, Warsaw, IN 46580 | 2006-06-14 |
| 1831151869 | Shawn E Kidder | Family Medicine | 2235 Dubois Drive, Warsaw, IN 46580-3212 | 2006-04-05 |
| 1467428318 | Gary M Pitts | Family Medicine | 2300 Dubois Dr, Warsaw, IN 46580-3213 | 2006-02-28 |
| 1295705622 | Community Health Centers of Southeastern Iowa Inc | Family Medicine | 345 Polk St, Warsaw, IL 62379-1033 | 2006-01-26 |
| 1972591030 | Theodore J Beltz | Family Medicine | 1765 Commercial St, Warsaw, MO 65355-3096 | 2005-10-12 |
| 1710528831 | Pelican Family Medicine | Family Medicine | 603 E College St, Warsaw, NC 28398-2104 | 2019-09-30 |
| Find all providers in WARSAW | ||||
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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.