CHARLES MATTHEW PESSON (NPI# 1699778613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699778613 |
| Entity Type | Individual |
| Full Name | CHARLES MATTHEW PESSON |
| Credential | MD |
| Practice Address |
245 Flemingsburg Rd Morehead KY 40351-1015 |
| Practice Telephone | 6067805500 |
| Practice Fax Number | 6067837281 |
| Mailing Telephone | 6067805500 |
| Mailing Fax Number | 6067837281 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 53502 | KY | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
53502 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY MEDICAL LICENSE | 53502 | 01 |
| KY | 7100658660 | 05 |
| Street Address |
245 FLEMINGSBURG RD |
| City | MOREHEAD |
| State | KY |
| Zip Code | 40351-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024257 | Amanda Jane Hall | Nurse Practitioner | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2020-05-11 |
| 1467072850 | Timothy Scott Lewis | Pharmacist | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2020-04-26 |
| 1629530092 | Sarah Margaret Walters | Dietitian, Registered | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2019-04-03 |
| 1801395520 | St Claire Medical Center, Inc. | Family Medicine | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2018-02-08 |
| 1588179717 | Leah-ann Michell Owens | Nurse Practitioner | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2017-12-11 |
| 1548799364 | St. Claire Medical Center Inc. - Medical Pavilion Pharmacy | Durable Medical Equipment & Medical Supplies | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2017-06-06 |
| 1922460153 | Jennifer Melissa Courtier | Family Medicine | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2016-03-26 |
| 1568820561 | Ahmad Abuarqoub | Internal Medicine | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2016-02-04 |
| 1003286709 | Shane Travis Kiser | Physician Assistant | 245 Flemingsburg Rd, Morehead, KY 40351-1015 | 2015-10-07 |
| 1679956098 | Colby J Holmes | Podiatrist | 245 Flemingsburg Rd, Morehead, KY 40351 | 2015-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881267 | Ready Lab LLC | Clinical Medical Laboratory | 2575 Ky Hwy 801 North, Suite B, Morehead, KY 40351 | 2020-11-02 |
| 1235765082 | Debbie Lynn Hudson | Behavior Technician | The Kidspot Center, 12008 W Us 60, Olive Hill, KY 40351 | 2020-03-12 |
| 1578020210 | The Family Healing Center, Inc | Clinic/Center | 241 East Main Street, Morehead, KY 40351 | 2019-03-01 |
| 1407312184 | Kyle Charles Wolff | Specialist/Technologist | 111 Playforth Place, Morehead, KY 40351 | 2019-02-18 |
| 1184195992 | Alyssa Davis | Emergency Medicine | 111 Academic-athletic Center, Morehead, KY 40351 | 2018-12-06 |
| 1891262325 | Garla Kathleen Hart | Social Worker | 500 Hecks Plaza, Morehead, KY 40351 | 2018-11-02 |
| 1508365230 | Alyson Ewigman | Specialist/Technologist | 195 Academic-athletic Center, Morehead, KY 40351 | 2018-02-08 |
| 1417490764 | Jordan Kelley | Specialist/Technologist | 195 Academic Athletic Center, Morehead, KY 40351 | 2016-11-18 |
| 1275903924 | Terri Dickerson | Counselor | 505 Hecks Plaza, Morehead, KY 40351 | 2015-10-06 |
| 1013313162 | Mt Sterling Pediatrics | Family Medicine | 130 New Towne Square, Morehead, KY 40351 | 2014-11-17 |
| Find all providers in zip 40351 | ||||
| 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 |
|---|---|---|---|---|
| 1053465666 | St Claire Medical Center Inc | Orthopaedic Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2007-01-22 |
| 1548288319 | Cynthia A Schneider | Orthopaedic Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-07-18 |
| 1427082627 | Ralph Thomas Fossett | Orthopaedic Surgery | 425 Clinic Dr, Morehead, KY 40351-1077 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322170 | Louisville Spine Institute LLC | Orthopaedic Surgery | 6500 Glenridge Park Pl Ste 9, Louisville, KY 40222-3450 | 2019-12-05 |
| 1114584612 | Injury Rehab Center LLC | Orthopaedic Surgery | 611 W Poplar St Ste C12, Elizabethtown, KY 42701-2477 | 2019-05-21 |
| 1679077531 | Travis Parkulo | Orthopaedic Surgery | 550 South Jackson Street 1st Floor Acb, Louisville, KY 40292-1219 | 2018-03-23 |
| 1588168611 | Boshen Liu | Orthopaedic Surgery | 740 S Limestone Room K403, Lexington, KY 40536-0293 | 2018-03-22 |
| 1013417419 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 509 Hampton Way, Richmond, KY 40475-8680 | 2018-02-13 |
| 1598265993 | Cumberland Foot & Ankle Centers | Orthopaedic Surgery | 141 Prosperous Pl Ste 22a, Lexington, KY 40509-1854 | 2018-02-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1881107886 | Bellefonte Physician Services, Inc. | Orthopaedic Surgery | 1100 St. Christopher Dr., Ashland, KY 41101-7055 | 2017-11-13 |
| 1073034385 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 115 Tradepark Dr Ste B, Somerset, KY 42503-3428 | 2017-06-28 |
| 1437679990 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1830 Destiny Ln Ste 110, Bowling Green, KY 42104-1088 | 2017-06-26 |
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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.