ELIZABETHTOWN RHEUMATOLOGY PSC (NPI# 1619148012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619148012 |
| Entity Type | Organization |
| Organization Name | ELIZABETHTOWN RHEUMATOLOGY PSC |
| Practice Address |
914 N Dixie Ave Ste 206 Elizabethtown KY 42701-2541 |
| Practice Telephone | (270) 737-7021 |
| Practice Fax Number | 2709825138 |
| Mailing Telephone | 2709825138 |
| Mailing Fax Number | 2709823590 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | SALEEM SAJID (OWNER) |
| Authorized Official Telephone | 2709825138 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
36225 | KY | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1239 Woodland Dr, Suite 112, Elizabethtown, KY 427012770 | 2707377021 | 2709825138 |
| Street Address |
914 N DIXIE AVE STE 206 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366424293 | Saleem Sajid | Internal Medicine | 914 N Dixie Ave Ste 206, Elizabethtown, KY 42701-2541 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154738953 | Mohammed A. Siddiqui, M.d., Pllc | Clinic/Center | 1120 Woodland Dr, Elizabethtown, KY 42701-2763 | 2014-07-14 |
| 1790797702 | E'town Lung Specialist, Psc | Clinic/Center | 914 N Dixie Ave, Elizabethtown, KY 42701-2520 | 2006-08-12 |
| 1801806963 | Kentucky Heart and Vascular Specialists, Psc | Clinic/Center | 1320 Woodland Dr, A, Elizabethtown, KY 42701 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468147 | Mountain Health Care | Clinic/Center | 3056 Ky Route 321, Prestonsburg, KY 41653-9105 | 2020-02-09 |
| 1215276282 | Denali Iom | Clinic/Center | 1211 Griffith Ave, Owensboro, KY 42301-2816 | 2013-02-11 |
| 1548551054 | Ideal Image | Clinic/Center | 3604 Springhurst Blvd, Louisville, KY 40241-4142 | 2011-05-02 |
| 1609179589 | Paul L Patterson II Od Psc | Clinic/Center | 295 Campbellsville Byp Ste 1, Campbellsville, KY 42718-7870 | 2010-12-14 |
| 1437482072 | Ephraim Mcdowell Health Resource, Inc. | Clinic/Center | 216 West Walnut, Suite B, Danville, KY 40422-1824 | 2009-09-15 |
| 1285813469 | Chiaki Gauntt Md Pllc | Clinic/Center | 1917 S Highway 53, La Grange, KY 40031-8574 | 2007-10-24 |
| 1477767549 | Karen Eastridge LLC | Clinic/Center | 1553 Highway 44 E Ste 2, Shepherdsville, KY 40165-7183 | 2007-05-09 |
| 1760525067 | Lagrange Wellness Chiropractoc | Clinic/Center | 2005 S Highway 53 Ste C, Lagrange, KY 40031-9109 | 2007-02-15 |
| 1316441975 | Renew Recovery, LLC | Clinic/Center | 599 Freedom Park Dr, Crestview Hills, KY 41017 | 2018-03-20 |
| 1801249925 | Shriners Hospitals for Children | Clinic/Center | 110 Conn Ter, Lexington, KY 40508-3206 | 2016-07-14 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on ELIZABETHTOWN RHEUMATOLOGY 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.