BEAUMONT INTEGRATED MEDICINE PSC (NPI# 1619377454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619377454 |
| Entity Type | Organization |
| Organization Name | BEAUMONT INTEGRATED MEDICINE PSC |
| Practice Address |
989 Governors Ln Lexington KY 40513-1173 |
| Mailing Address |
7980 Solution Ctr Chicago IL 60677-7009 |
| Practice Telephone | 8595594272 |
| Mailing Telephone | 8595594272 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | MR. DANIEL VANHOOSE (ADMINISTRATOR) |
| Authorized Official Telephone | 8595590804 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
36483 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
989 GOVERNORS LN |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40513-1173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346400801 | Gretchen Eileen Kinchen | Dentist | 989 Governors Ln, Lexington, KY 40513-1173 | 2008-06-09 |
| 1427583178 | Commonwealth Medical Care, LLC | Family Medicine | 989 Governors Ln, Suite 220, Lexington, KY 40513-1173 | 2017-05-01 |
| 1659812014 | Christopher Stark Md Pllc | Specialist | 989 Governors Ln, Ste 180, Lexington, KY 40513-1173 | 2017-03-17 |
| 1770985863 | Bluegrass Cardiology LLC | Internal Medicine | 989 Governors Ln, Suite 180, Lexington, KY 40513-1173 | 2014-09-19 |
| 1629497714 | Skinmd | Dermatology | 989 Governors Ln, Suite 220, Lexington, KY 40513-1173 | 2014-04-16 |
| 1528492998 | Amie E Osborne | Nurse Practitioner | 989 Governors Ln, Ste 220, Lexington, KY 40513-1173 | 2013-08-21 |
| 1154620110 | Vaxcare Georgia LLC | Family Medicine | 989 Governors Ln, Suite 160, Lexington, KY 40513-1173 | 2011-03-16 |
| 1558514299 | Chiro One Wellness Center of Beaumont Pllc | Chiropractor | 989 Governors Ln, Suite #280, Lexington, KY 40513-1173 | 2008-10-28 |
| 1225287659 | Christian T Rosevear | Chiropractor | 989 Governors Ln, Suite #280, Lexington, KY 40513-1173 | 2008-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991531 | Angela C Dehart, Lcsw | Social Worker | 1040 Monarch St Ste 110, Lexington, KY 40513 | 2018-02-07 |
| 1831623313 | Dustin Mayrand | Student in an Organized Health Care Education/Training Program | 3141 Beaumont Centre Cir Ste 300, Lexington, KY 40513 | 2017-04-12 |
| 1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
| 1457751174 | Kentucky One Health | Community/Behavioral Health | 3251 Beaumont Circle, Saint Joseph Healthy Lifestyle Center, Lexington, KY 40513 | 2014-08-29 |
| 1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
| 1346524329 | Katherina Terhune | Social Worker | 1000 Monarch Street, #250, Lexington, KY 40513 | 2011-10-07 |
| 1619206539 | Beamont Chiropractic LLC | Chiropractor | 3160 Beaumont Circle, Suite 130, Lexington, KY 40513 | 2009-12-24 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1033368931 | Katy M Breeze | Pharmacist | #2573 Palomar Centre Dr, Rite Aid Pharmacy, Lexington, KY 40513 | 2008-09-16 |
| 1356485890 | Muscle & Rom Testing LLC | Specialist | 3726 Military Pike, Lexington, KY 40513 | 2007-02-17 |
| Find all providers in zip 40513 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053653717 | Charles Sinclair Mooney | Family Medicine | 2700 Bryan Station Rd, Lexington, KY 40516-9002 | 2013-03-20 |
| 1356672927 | Bledsoe Family Medicine LLC | Family Medicine | 669 Barr Rd Ste C, Lexington, SC 29072-2369 | 2010-01-21 |
| 1912033929 | Gregory Edward Mick | Family Medicine | 2285 Executive Dr, Suite 100, Lexington, KY 40505-4810 | 2007-02-26 |
| 1972560142 | Horace William Bledsoe | Family Medicine | 123 Carriage Hill Dr, Lexington, SC 29072-7503 | 2006-04-29 |
| 1831150531 | Harsh Doshi | Family Medicine | 17280 Highway 17 South, Lexington, MS 39095 | 2006-03-31 |
| 1275933129 | Hamburg Integrated Medicine Psc | Family Medicine | 1890 Star Shoot Pkwy, Suite 190, Lexington, KY 40509-4566 | 2014-08-28 |
| 1265660708 | Lexington Family Physicians LLC | Family Medicine | 250 Boswell St, Lexington, TN 38351-1566 | 2009-06-23 |
| 1811101108 | Stephen Michael Clancy | Family Medicine | 3301 Leestown Rd, Lexington, KY 40511-8702 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363509 | The Well Wagon, LLC | Family Medicine | 2124 Dogoon Dr, Louisville, KY 40223-1147 | 2020-10-12 |
| 1396352332 | Erin Bryant Aprn Pllc | Family Medicine | 2407 Ring Rd Ste 133, Elizabethtown, KY 42701-5963 | 2020-09-24 |
| 1447883491 | Kristy Bryant | Family Medicine | 315 E Broadway Ste 103, Louisville, KY 40202-3700 | 2020-02-18 |
| 1457624777 | Sam H. Reid | Family Medicine | 353 E Lexington Ave, Danville, KY 40422-1521 | 2012-02-16 |
| 1023311800 | Tj Health Partners LLC | Family Medicine | 312 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2010-12-16 |
| 1366607582 | Harold Douglass Crall | Family Medicine | 4000 Morgan Rd, Roederer Correctional Complex, La Grange, KY 40031-0069 | 2008-07-28 |
| 1346440062 | Frank Lyons Do, Psc | Family Medicine | 775 E Tom T Hall Blvd, Olive Hill, KY 41164-7040 | 2007-07-20 |
| 1649329624 | Earnest F Oblander | Family Medicine | 1204 Winding Creek Pl, Louisville, KY 40245-5232 | 2007-01-09 |
| 1952499691 | James Ray Rich | Family Medicine | 5975 Taylor Mill Road, Covington, KY 41015-2397 | 2006-10-10 |
| 1376567875 | Lowell Grey Arnett Jr. | Family Medicine | 2978 E Mountain Pkwy, Salyersville, KY 41465-9772 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
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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.