DR. SHARON KAY GOODWIN FOGLEMAN (NPI# 1609862952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609862952 |
| Entity Type | Individual |
| Full Name | DR. SHARON KAY GOODWIN FOGLEMAN |
| Credential | MD |
| Practice Address |
53 Queendale Ctr Red Bird Clinic Beverly KY 40913-9608 |
| Practice Telephone | 6065985135 |
| Practice Fax Number | 6065988942 |
| Mailing Telephone | 6065985135 |
| Mailing Fax Number | 6065988942 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33565 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64056377 | 05 |
| Street Address |
53 QUEENDALE CTR RED BIRD CLINIC |
| City | BEVERLY |
| State | KY |
| Zip Code | 40913-9608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790771046 | Millard Lynn Fogleman | Family Medicine | 53 Queendale Ctr, Red Bird Clinic, Beverly, KY 40913-9607 | 2005-09-22 |
| 1083030860 | Aaron N. Frye | Nurse Practitioner | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2014-03-17 |
| 1558665752 | Memorial Hospital, Inc. | Family Medicine | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2011-01-03 |
| 1992815419 | Rx Discount Pharmacy of Harlan Inc | Pharmacy | 53 Queendale Ctr, Hc 69 Box 701, Beverly, KY 40913-9608 | 2006-08-30 |
| 1053421560 | Bruce D. Polly | Pharmacist | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821084971 | Red Bird Clinic, Inc. | Clinic/Center | 53 Queendale Center, Suite 1, Beverly, KY 40913 | 2005-09-23 |
| 1780683219 | Red Bird Volunteer Fire and Rescue Inc | Ambulance | 31 Queendale Ctr, Beverly, KY 40913-9602 | 2005-07-18 |
| 1104443654 | Memorial Hospital Inc | General Acute Care Hospital | 53 Queendale Ctr Ste 200, Beverly, KY 40913-9608 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548050 | Elizabeth Karen Turner | Physical Therapist | 800 Cummings Ctr Ste 147u, Beverly, MA 01915-6172 | 2020-11-07 |
| 1235730151 | Jennifer Beardslee | Psychologist | 116 Bridge St, Beverly, MA 01915-2851 | 2020-11-06 |
| 1730780370 | Helena Santos-martins, Md, PC | Internal Medicine | 100 Cummings Ctr Ste 106-q, Beverly, MA 01915-6115 | 2020-11-02 |
| 1225638398 | Nicholas Makogonov | Behavior Technician | 4 Kinsman St, Beverly, MA 01915-1819 | 2020-10-28 |
| 1124626726 | Lov Home Care LLC | In Home Supportive Care | 498 Elliott St, Beverly, MA 01915-2331 | 2020-10-15 |
| 1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
| 1922605344 | Anchor Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 409 Cabot St Ste 8, Beverly, MA 01915-3175 | 2020-10-08 |
| 1124625892 | Steven M Adkison | Registered Nurse | 197 Lothrop St, Beverly, MA 01915-3763 | 2020-10-06 |
| 1083221352 | Myeyedr Optometry of Massachusetts P C | Optometrist | 495 Cabot St Ste 1, Beverly, MA 01915-2515 | 2020-09-30 |
| 1104433614 | Holly Welch | Technician | 5 Dixie St, Beverly, WV 26253-8935 | 2020-09-29 |
| Find all providers in BEVERLY | ||||
| 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 |
|---|---|---|---|---|
| 1851753867 | Danielle Morse | Family Medicine | 100 Cummings Ctr Ste 136p, Beverly, MA 01915 | 2016-03-28 |
| 1598957854 | Harborlight Family Medicine, PC | Family Medicine | 900 Cumming Center, Suite 126v, Beverly, MA 01915 | 2007-08-10 |
| 1154483931 | Mavis Webster Jaworski | Family Medicine | 25 Hale St, Floor 1, Beverly, MA 01915-5268 | 2006-12-15 |
| 1336158146 | George G Flamm | Family Medicine | 440 Cooper Street, Beverly, NJ 08010 | 2006-08-08 |
| 1376580563 | Gail L Ellis | Family Medicine | 30 Tozer Road, Beverly, MA 01915 | 2006-05-31 |
| 1619941903 | Joseph Peppe | Family Medicine | 100 Cummings Center Suite 126-q, Beverly, MA 01915 | 2006-02-14 |
| 1669462636 | W. Albert Dow | Family Medicine | 455 Broad St, Beverly, NJ 08010-1545 | 2005-10-21 |
| 1790771046 | Millard Lynn Fogleman | Family Medicine | 53 Queendale Ctr, Red Bird Clinic, Beverly, KY 40913-9607 | 2005-09-22 |
| 1265431134 | Thomas A Groblewski | Family Medicine | 38 Hayes Ave, Beverly, MA 01915-3943 | 2005-07-21 |
| 1346244787 | Poncet Courtland Bills | Family Medicine | 503 5th St, Beverly, OH 45715-8916 | 2005-06-13 |
| Find all providers in BEVERLY | ||||
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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.