KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. (NPI# 1639579592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639579592 |
| Entity Type | Organization |
| Organization Name | KING'S DAUGHTERS MEDICAL SPECIALTIES, INC. |
| Other Organization Name | KING'S DAUGHTERS MEDICAL SPECIALTIES INFECTIOUS DISEASE |
| Practice Address |
2201 Lexington Ave Ashland KY 41101-2843 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6064084000 |
| Practice Fax Number | 6064086825 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Authorized Official Name | KRISTIE M WHITALATCH (CEO) |
| Authorized Official Telephone | 6064084401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
KY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| King's Daughters Medical Specialties Infectious Disease | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079543 | King's Daughters Medical Specialties, Inc. | Podiatrist | 1000 Ashland Dr Ste 104, Ashland, KY 41101-7092 | 2020-03-26 |
| 1265063580 | King's Daughters Medical Specialties, Inc. | Physician Assistant | 1200 Central Ave Ste 4, Ashland, KY 41101-7575 | 2020-01-27 |
| 1467982462 | King's Daughters Medical Specialties, Inc. | Nurse Practitioner | 613 23rd St Ste 310, Ashland, KY 41101-2877 | 2017-06-13 |
| Street Address |
2201 LEXINGTON AVE |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172552 | Anesthesia Physicians Care, Psc | Anesthesiology | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2005-08-26 |
| 1225637275 | Rebecca Stamper | Nurse Practitioner | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-10-21 |
| 1346859626 | Renee S Gibbs | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-07-23 |
| 1477170835 | Rebecca Fay Goodwin | Speech-Language Pathologist | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-07-01 |
| 1144846098 | Derek S. Hartman | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-06-17 |
| 1083239198 | Brandi L. Sperry | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-06-15 |
| 1639792351 | Catherine G Daniels | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-05-28 |
| 1932722659 | Timothy J Young | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-05-28 |
| 1043833759 | Joshua W Wells | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-05-28 |
| 1801429451 | Debra J Wilks | Registered Nurse | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1114295722 | Patrick Gerard Villafuerte | Internal Medicine | 2301 Lexington Ave Ste 125, Ashland, KY 41101-2800 | 2011-12-09 |
| 1558653618 | Kings Daughters Medical Specialties Inc | Internal Medicine | 617 23rd St Ste 400, Ashland, KY 41101 | 2011-05-09 |
| 1992026496 | Nesreen Salim Khraisha | Internal Medicine | 1000 Saint Christopher Dr, Ashland, KY 41101-7034 | 2010-06-18 |
| 1265597033 | Infectious Diseases Psc | Internal Medicine | 2301 Lexington Ave, Suite 100, Ashland, KY 41101-2873 | 2006-12-22 |
| 1609950476 | Tristate Infectious Disease Consultants, Psc | Internal Medicine | 2301 Lexington Ave, Ste 125, Ashland, KY 41101-2873 | 2006-10-25 |
| 1699732040 | Cecilia Gaynor | Internal Medicine | 2301 Lexington Ave, Suite 125, Ashland, KY 41101-2873 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902371404 | Evelyn Bertha Villacorta Cari | Internal Medicine | 740 S Limestone Fifth Floor - Wing D Room L504, Lexington, KY 40536-0001 | 2018-10-10 |
| 1144584665 | Patricia Tellez Watson | Internal Medicine | 720 2nd Ave Ste 307, Bowling Green, KY 42101-1718 | 2012-06-28 |
| 1033406277 | Gregory Balabanian | Internal Medicine | 200 Medical Center Dr Ste 2o, Hazard, KY 41701-9422 | 2011-07-08 |
| 1588802946 | Sean M Mctigue | Internal Medicine | Uk Department of Pediatrics, 800 Rose Street, Ms-465, Lexington, KY 40536-0001 | 2009-01-22 |
| 1821256397 | Arif H. Khan, Md., Pllc | Internal Medicine | 64 Trent Cir, London, KY 40744-6463 | 2008-05-30 |
| 1962684993 | Merilda Onyfel Blanco-guzman | Internal Medicine | 234 E Gray St Ste 768, Louisville, KY 40202-1901 | 2007-11-30 |
| 1003003351 | Medicine Pllc | Internal Medicine | 15103 Chestnut Ridge Cir, Louisville, KY 40245-5291 | 2007-10-01 |
| 1083836399 | Andrea Banks | Internal Medicine | 1720 Nicholasville Rd Ste 602, Lexington, KY 40503-1488 | 2007-05-03 |
| 1659413136 | Allen Thomas Griffin II | Internal Medicine | 1138 Lexington Rd Ste 290, Georgetown, KY 40324 | 2007-02-13 |
| 1770678435 | Martin Earl Evans | Internal Medicine | University of Kentucky School of Medicine, 800 Rose St., Lexington, KY 40536-0298 | 2006-10-04 |
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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.