DR. EDIBERTO DEJESUS GARCIA


Address: 200 Clinic Dr, Madisonville, KY 42431-1661
Phone: 2708257351

DR. EDIBERTO DEJESUS GARCIA (NPI# 1598836314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598836314
Entity Type Individual
Full Name DR. EDIBERTO DEJESUS GARCIA
Credential M.D.
Practice Address 200 Clinic Dr
Madisonville
KY 42431-1661
Mailing Address Po Box 950248
Louisville
KY 40295-0248
Practice Telephone 2708257351
Practice Fax Number 2708256630
Mailing Telephone 5024895730
Mailing Fax Number 5024895733
Enumeration Date 2006-11-13
Last Update Date 2015-01-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice TP652 KY Allopathic & Osteopathic Physicians
N 208D00000X General Practice 0101240450 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 200 CLINIC DR
City MADISONVILLE
State KY
Zip Code 42431-1661

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033116132 James Criss Yelton Orthopaedic Surgery 200 Clinic Dr, Madisonville, KY 42431-1661 2005-07-05
1881207355 Ronnie Leif Knudsen Pharmacist 200 Clinic Dr, Madisonville, KY 42431-1661 2020-08-25
1366051922 Eric Aodh O'reilly Student in an Organized Health Care Education/Training Program 200 Clinic Dr, Madisonville, KY 42431-1661 2020-07-29
1841829124 Stuart D Le Student in an Organized Health Care Education/Training Program 200 Clinic Dr, Madisonville, KY 42431-1661 2020-04-07
1386273654 Folaranmi Ajiboye Student in an Organized Health Care Education/Training Program 200 Clinic Dr, Madisonville, KY 42431-1661 2020-04-07
1154950434 Alexander B Weber Student in an Organized Health Care Education/Training Program 200 Clinic Dr, Madisonville, KY 42431-1661 2020-04-07
1174152458 Kyle A Romines Student in an Organized Health Care Education/Training Program 200 Clinic Dr, Madisonville, KY 42431-1661 2020-04-07
1346879624 Lohita Nulu Student in an Organized Health Care Education/Training Program 200 Clinic Dr, Madisonville, KY 42431-1661 2020-04-07
1255961827 Melinda Nightingale Nurse Practitioner 200 Clinic Dr, Madisonville, KY 42431-1661 2020-01-22
1093366858 Heather Koren Wyatt Peer Specialist 200 Clinic Dr, Madisonville, KY 42431-1661 2019-09-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750846309 Sarah Davenport Ziegler Registered Nurse 3050 Nebo Rd, Madisonville, KY 42431 2019-02-08
1134604903 Kelsey Dawn Wilson Occupational Therapist 425 Island Ford Rd, Madisonville, KY 42431 2018-09-27
1174006209 Shaun Vickery Physical Therapist 425 Island Ford Road, Madisonville, KY 42431 2018-09-14
1881115384 Filza Tajik Speech-Language Pathologist 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 2017-07-05
1245769280 Susan Hart Student in an Organized Health Care Education/Training Program 200 Clinic Drive, Third North, Madisonville, KY 42431 2017-06-05
1811363880 Cory Eakins Nutritionist 2223 S Main St, Madisonville, KY 42431 2015-08-13
1932598257 Deidra Boyken Counselor 145 E. Center Street Suite 1d, Madisonville, KY 42431 2015-01-12
1841602398 Jessica France Occupational Therapist 339 S Seminary St, Madisonville, KY 42431 2014-06-02
1497097562 Sunrise Children's Services Community/Behavioral Health 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 2013-03-26
1013275023 Creasha King Counselor 1079 Thornberry Dr Ste B, Madisonville, KY 42431 2012-04-26
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962877712 Access Medical Care of Monroe County PC General Practice 4233 Highway 411, Madisonville, TN 37354-1571 2015-12-04
1497851562 Dianne L Goodale General Practice 200 Clinic Dr, Madisonville, KY 42431-1661 2006-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407461171 Christina Marie Shea Tobbe General Practice 1707 Cedar Grove Rd Ste 150, Shepherdsville, KY 40165-8572 2020-09-10
1689214454 Superior Healthcare Pllc General Practice 7560 Us Highway 42 Ste B, Florence, KY 41042-1908 2020-01-09
1144876814 You Only Live Once Medical General Practice 821 Ulrich Ave, Louisville, KY 40219-1844 2019-08-17
1760979124 Healthy Living Primary Care General Practice 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 2018-04-20
1649775586 Landmark Medical of Kentucky, Psc General Practice 113 Glenn Pl Unit 100, Lexington, KY 40505-3518 2018-03-23
1639603145 Charita Weathers General Practice 401 East Chestnut, Ste 610, Louisville, KY 40202 2017-04-12
1881146033 Alliance Health Care, LLC General Practice 1710 D State Route 121 North, Murray, KY 42071 2016-11-03
1528519113 A New Journey General Practice 4100 Cadillac Ct, Louisville, KY 40213-1591 2016-10-18
1013381441 Veloz Medical Services Corp General Practice 6911 Shepherdsville Rd, Louisville, KY 40219-2211 2015-11-23
1407229545 Fern Medical and Rehab Corp General Practice 5520 Fern Valley Rd, 107, Louisville, KY 40228-1087 2015-11-12
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Competitor

Search similar providers

City MADISONVILLE
Zip Code 42431

Improve Information

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Dataset Information

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.

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