TED H JEFFERSON D.O., INC. (NPI# 1679593990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679593990 |
| Entity Type | Organization |
| Organization Name | TED H JEFFERSON D.O., INC. |
| Practice Address |
2605 Kentucky Ave Dob#3 Suite 602 Paducah KY 42003-3800 |
| Practice Telephone | 2704422449 |
| Practice Fax Number | 2704426628 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TED H JEFFERSON (PRESIDENT) |
| Authorized Official Telephone | 2704422449 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 02703 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000200944 | 01 |
| KY | DMERC | 5044430001 | 01 |
| Street Address |
2605 KENTUCKY AVE DOB#3 SUITE 602 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152279 | Michael A Sexton | Audiologist | 2605 Kentucky Ave, Dob 3, Suite 601, Paducah, KY 42003-3800 | 2005-05-24 |
| 1841739612 | Baptist Health Medical Group Obgyn | Specialist/Technologist, Other | 2605 Kentucky Ave, Suite 301, Paducah, KY 42003-3800 | 2017-02-14 |
| 1508314212 | Felicia Cooper | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2016-09-12 |
| 1013388784 | Alexa T Payne | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2015-10-07 |
| 1679941579 | Valerie Marie Clark | Nurse Practitioner | 2605 Kentucky Ave, Suite 304, Paducah, KY 42003-3800 | 2015-09-09 |
| 1922401611 | Baptist Health Medical Group Inc | Psychologist | 2605 Kentucky Ave, Suite 306, Paducah, KY 42003-3800 | 2014-10-08 |
| 1992117402 | Adrian Leigh Holmes | Nurse Practitioner | 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 | 2014-06-02 |
| 1336563543 | Advanced Internal Medicine Pllc | Internal Medicine | 2605 Kentucky Ave, Suite 402, Paducah, KY 42003-3800 | 2014-02-07 |
| 1215278734 | Shelby Nicole Snow | Nurse Practitioner | 2605 Kentucky Ave, Suite 501, Paducah, KY 42003-3800 | 2013-03-07 |
| 1174882658 | Robert James Learch | Internal Medicine | 2605 Kentucky Ave, Suite 602, Paducah, KY 42003-3800 | 2012-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578826061 | Jason Gregory Patton | Orthopaedic Surgery | 4787 Alben Barkley Dr, Paducah, KY 42001 | 2012-06-19 |
| 1184912909 | Ryan Tyler Beck | Orthopaedic Surgery | 4787 Alben Barkley Dr, Paducah, KY 42001-6789 | 2011-07-13 |
| 1659535409 | Spencer Elton Romine | Orthopaedic Surgery | 4787 Alben Barkley Dr, Paducah, KY 42001-6789 | 2008-07-10 |
| 1124231824 | Brian Kern | Orthopaedic Surgery | 4787 Alben Barkley Dr, Suite 103, Paducah, KY 42001-6789 | 2007-05-08 |
| 1053473892 | Philip G Hunt M D Orthopedics P S C | Orthopaedic Surgery | 225 Medical Center Dr, Suite 406, Paducah, KY 42003-7914 | 2006-12-15 |
| 1629172234 | Philip G Hunt | Orthopaedic Surgery | 225 Medical Center Dr, Suite 406, Paducah, KY 42003-7914 | 2006-09-12 |
| 1336256460 | William J Stodghill | Orthopaedic Surgery | 2605 Kentucky Ave, Ste 103, Paducah, KY 42003-3800 | 2006-08-24 |
| 1235152943 | Ted H Jefferson | Orthopaedic Surgery | 2605 Kentucky Ave, Dob#3 Suite 602, Paducah, KY 42003-3800 | 2006-07-25 |
| 1316965916 | Clint P Hill | Orthopaedic Surgery | 4787 Alben Barkley Drive, Paducah, KY 42001 | 2006-07-18 |
| 1699743658 | James R Wilkinson | Orthopaedic Surgery | 1532 Lone Oak Rd, Suite 310, Paducah, KY 42003 | 2006-03-08 |
| Find all providers in PADUCAH | ||||
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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.