FLOYD MEMORIAL MEDICAL GROUP LLC (NPI# 1730482779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730482779 |
| Entity Type | Organization |
| Organization Name | FLOYD MEMORIAL MEDICAL GROUP LLC |
| Practice Address |
1425 State St Ste 210 New Albany IN 47150-4977 |
| Practice Telephone | 8129816511 |
| Practice Fax Number | 8129816566 |
| Mailing Telephone | 8129816511 |
| Mailing Fax Number | 8129816566 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | KIM MARDIS (CREDENTIALING) |
| Authorized Official Telephone | 2707653886 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLOYD MEMORIAL HOSPITAL & HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700189743 | Floyd Memorial Medical Group LLC | Family Medicine | 3605 Northgate Ct Ste 207, New Albany, IN 47150-6422 | 2010-12-14 |
| 1932402971 | Floyd Memorial Medical Group LLC | Family Medicine | 727 Mount Tabor Rd Ste A, New Albany, IN 47150-6951 | 2010-12-14 |
| 1790925782 | Floyd Memorial Medical Group LLC | Internal Medicine | 2315 Green Valley Rd Ste 100, New Albany, IN 47150-4649 | 2009-03-03 |
| Street Address |
1425 STATE ST STE 210 |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-4977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760858450 | Coast To Coast California | Family Medicine | 5195 Hampsted Village Center Way, Suite 256, New Albany, OH 43054-8331 | 2015-08-17 |
| 1063656007 | Mudasir Anwar Abro | Family Medicine | 6420 Hilltop Trail Dr, New Albany, OH 43054-5018 | 2009-04-21 |
| 1376782094 | Matthew James Farrell | Family Medicine | 240 Market St, New Albany, OH 43054-7095 | 2009-02-19 |
| 1073631164 | Creekmore Clinic, P.l.l.c. | Family Medicine | 216 Oxford Road, New Albany, MS 38652-3115 | 2007-03-27 |
| 1982625505 | Steven E Ross | Family Medicine | 6525 W Campus Oval, Suite 150, New Albany, OH 43054-8830 | 2006-07-21 |
| 1154362283 | David Kageorge | Family Medicine | 240 Market St Ste A, New Albany, OH 43054-7094 | 2006-06-09 |
| 1760429914 | Bryan Ghiloni | Family Medicine | 55 N High St, New Albany, OH 43054-7099 | 2006-05-31 |
| 1720044456 | Stephen Milan Shirley | Family Medicine | 400 Doctors Dr, New Albany, MS 38652-3109 | 2006-04-21 |
| 1578538591 | Samuel Joshua Creekmore IIi | Family Medicine | 216 Oxford Rd, New Albany, MS 38652-3115 | 2006-02-22 |
| 1972580942 | Rene V Blaha | Family Medicine | 5031 Forest Dr, Suite B, New Albany, OH 43054-7088 | 2005-12-29 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on FLOYD MEMORIAL MEDICAL GROUP LLC.
| 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.