DR. TIMOTHY R LAVENDER (NPI# 1669426003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669426003 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY R LAVENDER |
| Credential | D.O. |
| Practice Address |
108 N Auxier Ave Pikeville KY 41501-9045 |
| Practice Telephone | 6064329106 |
| Practice Fax Number | 6064320967 |
| Mailing Telephone | 6064329106 |
| Mailing Fax Number | 6064320967 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2017-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
02627 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64005812 | 05 |
| Street Address |
108 N AUXIER AVE |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770571713 | Eastern Ky Bone & Joint Surgery, Psc | Specialist | 108 N Auxier Ave, Pikeville, KY 41501-9045 | 2005-10-13 |
| 1235343419 | Pikeville Dermatology & Cosmetic Center, Psc | Dermatology | 108 N Auxier Ave, Pikeville, KY 41501-9045 | 2007-05-09 |
| 1932251832 | Eastern Ky. Bone & Joint Surgery,psc | Physician Assistant | 108 N Auxier Ave, Pikeville, KY 41501-9045 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235343419 | Pikeville Dermatology & Cosmetic Center, Psc | Dermatology | 108 N Auxier Ave, Pikeville, KY 41501-9045 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1871567578 | Michelle Deann Smith | Dermatology | 227 Burley Ave, Hopkinsville, KY 42240-8725 | 2006-02-17 |
| 1801893730 | Stuart Tobin | Dermatology | 740 S. Limestone, Rm L119, University of Kentucky, Ky Clinic, Lexington, KY 40536-0284 | 2005-07-07 |
| 1598135055 | Forefront Dermatology, S.c. | Dermatology | 100 Commerce Dr, C/o Brandenburg Diagnostic Center, Brandenburg, KY 40108 | 2015-09-28 |
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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.