EPHRAIM MCDOWELL HEALTH RESOURCE, INC (NPI# 1750790069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750790069 |
Entity Type | Organization |
Organization Name | EPHRAIM MCDOWELL HEALTH RESOURCE, INC |
Other Organization Name | EPHRAIM MCDOWELL STANFORD MEDICAL OFFICES |
Practice Address |
125 Portman Ave Stanford KY 40484-1229 |
Practice Telephone | 6063653378 |
Practice Fax Number | 6063653381 |
Mailing Telephone | 6063653378 |
Mailing Fax Number | 6063653381 |
Enumeration Date | 2014-08-12 |
Last Update Date | 2017-07-05 |
Authorized Official Name | MR. WILLIAM M SNAPP III (VP/CFO) |
Authorized Official Telephone | 8592392424 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
Y | 174400000X | Specialist | Other Service Providers |
Other Name | Type Code |
---|---|
Ephraim McDowell Stanford Medical Offices | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
1114539731 | Ephraim Mcdowell Health Resource, Inc | Surgery | 102 Citation Dr, Danville, KY 40422-9216 | 2020-08-17 |
1063971414 | Ephraim Mcdowell Health Resource, Inc | Physician Assistant | 130 Daniel Dr, Danville, KY 40422-2527 | 2019-03-15 |
1750815379 | Ephraim Mcdowell Health Resource, Inc | Audiologist | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2017-04-20 |
1194103937 | Ephraim Mcdowell Health Resource, Inc | Physician Assistant | 230 W Main St, Ste 102, Danville, KY 40422-1871 | 2015-05-13 |
1588069785 | Ephraim Mcdowell Health Resource, Inc | Sleep Specialist, PhD | 160 Kings Daughters Dr, Frankfort, KY 40601-4255 | 2014-10-30 |
1043615248 | Ephraim Mcdowell Health Resource, Inc | Sleep Specialist, PhD | 102 Citation Dr, Danville, KY 40422-9216 | 2014-10-30 |
1669803375 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 105 Ponder Ct, Danville, KY 40422-9050 | 2013-12-05 |
1386982791 | Ephraim Mcdowell Health Resource, Inc | Social Worker | 222 S 3rd St, Danville, KY 40422-1824 | 2013-01-18 |
1518240969 | Ephraim Mcdowell Health Resource, Inc | Clinic/Center | 405 Danville St, Lancaster, KY 40444-1150 | 2011-09-22 |
Street Address |
125 PORTMAN AVE |
City | STANFORD |
State | KY |
Zip Code | 40484-1229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306208335 | Carol Ann Trapp | Case Manager/Care Coordinator | 333 Frontier Blvd., Stanford, KY 40484 | 2016-03-29 |
1285096123 | Stanford Eye Center Psc | Optometrist | 101 Us Hwy 150 Bypass, Suite 117, Stanford, KY 40484 | 2016-03-21 |
1679712434 | Laura Smith | Occupational Therapist | 1538 Teytonwell Rd, Stanford, KY 40484 | 2009-02-18 |
1104015593 | Precision Chiropractic Center, Psc | Chiropractor | 109 Lily Dr., Stanford, KY 40484 | 2007-10-22 |
1114121159 | Emhfl, Inc. | Optometrist | 110 Metker Trail, Stanford, KY 40484 | 2007-06-13 |
1841417490 | Shelley Lynn Alford I | Speech-Language Pathologist | 228 Grist Mill Rd., Stanford, KY 40484 | 2007-04-18 |
1043332091 | Lincoln County Health Department | Clinic/Center | 342 Education Way, Stanford, KY 40484 | 2007-04-03 |
1316963036 | Theresa L Kelsey | Physical Therapist | 123 Frontier Blvd Ste 106, Stanford, KY 40484 | 2006-07-14 |
1366485989 | New Vista of The Bluegrass Inc | Clinic/Center | 322 Frontier Boulevard, Stanford, KY 40484 | 2006-06-13 |
1811164429 | Fort Logan Hospital | Clinical Medical Laboratory | 110 Metker Trail, Stanford, KY 40484 | 2008-05-13 |
Find all providers in zip 40484 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558696096 | Rodelia Rafael Busalpa | Specialist | 300 Pasteur Dr # Mc5303, Medical Specialties Clinic, Stanford, CA 94305-2200 | 2009-10-15 |
1265673149 | Constance Kay French | Specialist | 8255 Ky Highway 1247, Stanford, KY 40484-9209 | 2009-03-23 |
1467591222 | Veronique-isabelle Forest | Specialist | 801, Welch Road, Stanford, CA 94305-5739 | 2007-02-06 |
1649327016 | Laura Jean Johnston | Specialist | 300 Pasteur Dr # H3249, Mc 5623, Stanford, CA 94305-5623 | 2007-01-05 |
1144778143 | Koen Nieman | Specialist | 300 Pasteur Dr, H2157, Stanford, CA 94305-2200 | 2016-09-19 |
1962843946 | Jay Kiran Nathan | Specialist | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2013-07-08 |
1841503968 | Anahita Aghaei Lasboo | Specialist | 300 Pasteur Dr, Rm A-343, Stanford University Medical Center, Stanford, CA 94305-2200 | 2010-07-18 |
1962737205 | Annie Talbot | Specialist | 251 Campus Dr, Stanford, CA 94305-5101 | 2009-10-05 |
1780918219 | Kelly Donovan Leblanc | Specialist | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2009-09-30 |
1174756381 | Jonathan James Liu | Specialist | 300 Pasteur Dr, Edwards Building Room R295, Stanford, CA 94305-2200 | 2009-09-03 |
Find all providers in STANFORD |
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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.