PURCHASE GASTROENTEROLOGY ASSOCIATES PSC (NPI# 1639131246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639131246 |
| Entity Type | Organization |
| Organization Name | PURCHASE GASTROENTEROLOGY ASSOCIATES PSC |
| Practice Address |
1029 Medical Center Circle Ste 306 Mayfield KY 42066 |
| Practice Telephone | 2702514575 |
| Practice Fax Number | 2702514577 |
| Mailing Telephone | 2702514575 |
| Mailing Fax Number | 2702514577 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | MRS. SHANNON LASHAEY THOMPSON (OFFICE MANAGER) |
| Authorized Official Telephone | 2702514575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3005111 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
3004998 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
30255 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
41420 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65943284 | 05 | |
| KY | 7100234660 | 05 |
| Street Address |
1029 MEDICAL CENTER CIRCLE STE 306 |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| Find all providers in zip 42066 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902868532 | Ruben Cuadrado | Internal Medicine | 1029 Medical Center Cir, Ste 306, Mayfield, KY 42066-1189 | 2006-04-06 |
| 1952595159 | Anita Torok | Internal Medicine | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019869 | Gi Care Consultants, Pllc | Internal Medicine | 225 Abraham Flexner Way Ste 402, Louisville, KY 40202-1850 | 2017-08-21 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1962874628 | Thomas J Moore Md LLC | Internal Medicine | 190 Keeneland Trl, Corbin, KY 40701-8544 | 2015-10-21 |
| 1952742587 | Aditya Kalakonda | Internal Medicine | 300 Barnes Road, Williamstown, KY 41097-9483 | 2013-07-11 |
| 1821348863 | Prem H Thurairajah | Internal Medicine | 800 Rose St, Mn649, University of Kentucky, Division Of, Lexington, KY 40536-0298 | 2012-09-18 |
| 1740573286 | Victor Alex Howard | Internal Medicine | 1720 Nicholasville Rd Ste 302, Lexington, KY 40503-1457 | 2011-05-17 |
| 1912200114 | Bellefonte Physician Services, Inc | Internal Medicine | 1101 Saint Christopher Dr Ste 350, Ashland, KY 41101-7000 | 2010-12-09 |
| 1225271026 | Allan P Lam | Internal Medicine | 425 Centre View Boulevard, Crestview Hills, KY 41017-3409 | 2009-04-09 |
| 1942442140 | Laura Ashley Buchanan | Internal Medicine | 914 N Dixie Ave Ste 302, Elizabethtown, KY 42701-2515 | 2009-04-02 |
| 1811152184 | Corbin Digestive and Liver Disease Center, Pllc | Internal Medicine | 1321 Cumberland Falls Hwy, Ste 3, Corbin, KY 40701-2720 | 2008-07-25 |
| 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.