DR. JAD GHANDOUR (NPI# 1659684272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659684272 |
| Entity Type | Individual |
| Full Name | DR. JAD GHANDOUR |
| Credential | M.D. |
| Practice Address |
150 N Eagle Creek Dr Lexington KY 40509 |
| Mailing Address |
5410 Maryland Way Ste 300 Brentwood TN 37027-5339 |
| Practice Telephone | 8592679773 |
| Mailing Telephone | 6153714423 |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 51840 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 263 Farmington Ave, Farmington, CT 060300001 | 8606792000 |
| Street Address |
150 N EAGLE CREEK DR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786440 | Philip Craig Booker | Anesthesiology | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2005-08-03 |
| 1134726201 | Katlyn Renee Holt | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2020-10-02 |
| 1366057143 | Kaley Alana Pagan | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2020-09-09 |
| 1093324691 | Amanda Wolfe | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2020-07-29 |
| 1669014114 | Steven Christopher Berger | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-10-16 |
| 1063054120 | Stephen Joseph Skeens | Nurse Anesthetist, Certified Registered | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-10-10 |
| 1205486966 | Tory Fehrenbacher | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-09-16 |
| 1316593544 | Margaret Catherine Schaefer | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-08-13 |
| 1740832195 | Lauren Morrison | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-07-15 |
| 1730741679 | Cortney Lanai Gunning | Nurse Anesthetist, Certified Registered | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1356970941 | Care Coordinates Inc | Internal Medicine | 136 Laconia St, Lexington, MA 02420-2252 | 2020-04-06 |
| 1518594282 | Integra-telemedicine | Internal Medicine | 4108 Clearwater Way, Lexington, KY 40515-6000 | 2020-03-24 |
| 1104383322 | New Dawn 365 Centers Pllc | Internal Medicine | 2101 Wiltshire Pl, Lexington, KY 40515-1167 | 2019-02-24 |
| 1245728054 | Lexington Medical Group Corp | Internal Medicine | 2276 Barnwell Ln, Lexington, KY 40513-1245 | 2018-04-26 |
| 1295257921 | Oriana Fabiola Ramirez Alvarado | Internal Medicine | Uk Bluegrass Care Clinic, 740 S Limestone Ste L504, Lexington, KY 40536 | 2017-07-14 |
| 1699221291 | Kavya Sudanagunta | Internal Medicine | 800 Rose St # Hx315, Lexington, KY 40536-7001 | 2016-09-01 |
| 1003362245 | Baird Transitions Mht LLC | Internal Medicine | 317 Ruth Vista Road, Lexington, SC 29073-8628 | 2016-08-28 |
| 1003268392 | Deepali Pandey | Internal Medicine | 800 Rose St # Cc-402, Lexington, KY 40536-0293 | 2016-07-11 |
| 1952763146 | Kelsey Thompson | Internal Medicine | 740 S Limestone Third Floor Wing D Suite L305, Lexington, KY 40536-0293 | 2016-03-25 |
| 1316309859 | Priya Shankar Srivastava | Internal Medicine | Internal Medicine Pediatrics, 900 S. Limestone, Ctw 304, Lexington, KY 40536-0001 | 2016-03-23 |
| Find all providers in LEXINGTON | ||||
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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.