PHYSICIANS GERIATRIC HEALTH SERVICES INC (NPI# 1679628762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679628762 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS GERIATRIC HEALTH SERVICES INC |
| Practice Address |
1804 E 10th St Jeffersonville IN 47130-6016 |
| Practice Telephone | 5025530810 |
| Practice Fax Number | 5022886603 |
| Mailing Telephone | 5025530810 |
| Mailing Fax Number | 5022886603 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-12-26 |
| Authorized Official Name | DR. MARK KIRKPATRICK (PRESIDENT) |
| Authorized Official Telephone | 5025530810 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
25893 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1063431 | 05 | |
| KY | ANTHEM | 000000291217 | 01 |
| Street Address |
1804 E 10TH ST |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518063585 | Jeffrey Alan Campbell | Anesthesiology | 1804 E 10th St, Jeffersonville, IN 47130-6016 | 2006-09-16 |
| 1376190314 | North Clark Urgent Care LLC | Clinic/Center | 1804 E 10th St, Jeffersonville, IN 47130-6016 | 2019-08-23 |
| 1558669606 | Dzanan Gusic | Nurse Practitioner | 1804 E 10th St, Jeffersonville, IN 47130-6016 | 2011-03-13 |
| 1871813550 | Jacqueline Davis | Nurse Practitioner | 1804 E 10th St, Jeffersonville, IN 47130-6016 | 2010-06-04 |
| 1518181098 | Dawn Renee Antle | Nurse Practitioner | 1804 E 10th St, Jeffersonville, IN 47130-6016 | 2007-04-13 |
| 1962550020 | Physician's Primary Care Pllc | Nurse Practitioner | 1804 E 10th St, Jeffersonville, IN 47130-6016 | 2007-01-08 |
| 1134277205 | Physician's Care Group | General Practice | 1804 E 10th St, Jeffersonville, IN 47130-6016 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1508309295 | M Care Pllc | Internal Medicine | 443 Spring St Ste 2, Jeffersonville, IN 47130-4495 | 2016-11-29 |
| 1801938006 | Anthony John Bazzan | Internal Medicine | 2505 Boulevard of The Generals, Jeffersonville, PA 19403-3698 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560491 | Advanced Medical Strategies LLC | Internal Medicine | 3646 Wirth Rd, Highland, IN 46322-2218 | 2020-08-28 |
| 1982054664 | Tooba Tariq | Internal Medicine | 720 Eskenazi Ave Ste F2-600, Indianapolis, IN 46202-5187 | 2016-06-14 |
| 1154663763 | Alexander C. Gatzimos Md Jd | Internal Medicine | 2050 E Ireland Rd, South Bend, IN 46614-2909 | 2013-03-21 |
| 1962717348 | Neshahthari Wijeyakuhan | Internal Medicine | 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 | 2010-08-10 |
| 1972741338 | Duan Lamont Pierce | Internal Medicine | 1333 Walston Ct, Indianapolis, IN 46260-3371 | 2009-01-22 |
| 1063659688 | Tochukwu C Iloabuchi | Internal Medicine | 6677 W May Apple Dr, Mccordsville, IN 46055-4447 | 2009-01-20 |
| 1073783627 | Dr Housecall | Internal Medicine | 4008 E New York St, Indianapolis, IN 46201-3662 | 2008-03-10 |
| 1275667677 | Wound Care Specialists of Indiana PC | Internal Medicine | 1200 W Carmel Dr Ste 103, Carmel, IN 46032-8707 | 2007-03-15 |
| 1417082520 | Jeff C Darnell | Internal Medicine | 3829 East 126th Street, Carmel, IN 46033-3151 | 2007-02-22 |
| 1003886862 | Robert Young | Internal Medicine | 720 Eskenazi Avenue, Occ, 6th Floor, Indianapolis, IN 46202-5166 | 2006-01-25 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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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.