CHARLES LEE MARCUM (NPI# 1750337440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750337440 |
| Entity Type | Individual |
| Full Name | CHARLES LEE MARCUM |
| Credential | M.D. |
| Practice Address |
1 Trillium Way Corbin KY 40701-8426 |
| Mailing Address |
284 Rose Hill Ave Versailles KY 40383-1224 |
| Practice Telephone | 6065281212 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 28918 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | BLUE CROSS BLUE SHIELD | 000000053343 | 01 |
| KY | 64289184 | 05 |
| Street Address |
1 TRILLIUM WAY |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659377950 | Mitchell Carl | Internal Medicine | 1 Trillium Way, Ste 302, Corbin, KY 40701-8426 | 2005-06-22 |
| 1114538204 | Kimberly Thompson | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-08-12 |
| 1780293027 | Christina Ann North-woods | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-22 |
| 1366050395 | Allison Elizabeth Lebron | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-15 |
| 1558984443 | Brittany Belcher | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-26 |
| 1891318192 | Bridgette Nichole Smallwood | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-20 |
| 1417583659 | Regina Upchurch | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-19 |
| 1396371795 | Kristin Cox | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-17 |
| 1972137701 | Cassandra Petrey | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
| 1215561055 | Amanda Alred Elza | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533804 | Bryan T Curd | Emergency Medicine | 4000 Fox Run Rd, Corbin, KY 40701-9539 | 2005-07-26 |
| 1386937415 | Melissa Dunaway Haddix | Emergency Medicine | 1 Trillium Way, Corbin, KY 40701-8727 | 2011-05-23 |
| 1871724427 | Steven William Mugleston | Emergency Medicine | 1 Trillium Way, Corbin, KY 40701-8727 | 2009-07-30 |
| 1972542462 | James A. Young | Emergency Medicine | 1 Trillium Way, Corbin, KY 40701-8426 | 2006-06-06 |
| 1710926860 | David Waymon Douglas | Emergency Medicine | 1 Trillium Way, Corbin, KY 40701-8426 | 2006-06-05 |
| 1316986433 | Jacky Lynn Crawford | Emergency Medicine | 1 Trillium Way, Corbin, KY 40701-8426 | 2006-06-05 |
| 1962441097 | Sherri Lee Hogan | Emergency Medicine | 1 Trillium Way, Corbin, KY 40701-8426 | 2006-06-05 |
| 1639118755 | Darrell A Palladino | Emergency Medicine | 1 Trillium Way, Corbin, KY 40701-8426 | 2006-06-05 |
| 1659327278 | Keith A. Clifton | Emergency Medicine | 1 Trillium Way, Corbin, KY 40701-8426 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620768 | Rachel L Arnold | Emergency Medicine | 702 N Maple Ave, Danville, KY 40422-1147 | 2019-10-10 |
| 1154976405 | Larry Dale Melton | Emergency Medicine | 7712 Cambridge Ct, Crestwood, KY 40014-8932 | 2019-08-05 |
| 1811484264 | Bellefonte Physician Services, Inc. | Emergency Medicine | 1816 Carter Ave Ste 2, Ashland, KY 41101-7643 | 2018-04-20 |
| 1093210338 | Emily Marsh | Emergency Medicine | 50 Woodson Way, Glasgow, KY 42141-3245 | 2018-03-28 |
| 1215464839 | Robert A Hudepohl | Emergency Medicine | 2487 Legends Way, Crestview Hills, KY 41017-3480 | 2017-05-12 |
| 1851822696 | Jonathan Walrath | Emergency Medicine | 48 Achates Dr, Florence, KY 41042-9753 | 2017-03-23 |
| 1194187179 | Russell Paul Landry IIi | Emergency Medicine | 1303 Us Hwy 127 S Ste 402, 367, Frankfort, KY 40601 | 2016-03-28 |
| 1083076145 | Slade Thompson | Emergency Medicine | 800 Rose St University of Kentucky, Lexington, KY 40536-7001 | 2016-03-27 |
| 1285096834 | Michael Gleason | Emergency Medicine | 859.323 5083, 800 Rose St M-53, Lexington, KY 40536-0298 | 2016-03-23 |
| 1538543087 | David Sindler | Emergency Medicine | 3615 E John Rowan Blvd Ste 104, Bardstown, KY 40004-3264 | 2015-07-15 |
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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.