JACKSON PURCHASE CARDIOLOGY (NPI# 1760436174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760436174 |
Entity Type | Organization |
Organization Name | JACKSON PURCHASE CARDIOLOGY |
Practice Address |
1029 Medical Center Cir Suite 200 Mayfield KY 42066-1189 |
Practice Telephone | 2702514545 |
Practice Fax Number | 2702514546 |
Mailing Telephone | 2702514545 |
Mailing Fax Number | 2702514546 |
Enumeration Date | 2006-05-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | TYRONE L DANIELS (PHYSICIAN/OWNER) |
Authorized Official Telephone | 2702514545 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
32841 | KY | Allopathic & Osteopathic Physicians |
Street Address |
1029 MEDICAL CENTER CIR SUITE 200 |
City | MAYFIELD |
State | KY |
Zip Code | 42066-1189 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902868532 | Ruben Cuadrado | Internal Medicine | 1029 Medical Center Cir, Ste 306, Mayfield, KY 42066-1189 | 2006-04-06 |
1538615570 | Heather D Lyell | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2016-08-30 |
1710332523 | Bethanie M Apperson | Nurse Practitioner | 1029 Medical Center Cir, Suite 200 & Suite 401b, Mayfield, KY 42066-1189 | 2016-04-29 |
1144645441 | Sarah Wilson | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2014-02-23 |
1609217868 | Stone Family Practice Pllc | Nurse Practitioner | 1029 Medical Center Cir, 200, Mayfield, KY 42066-1189 | 2013-07-16 |
1093093254 | Jessica M Little | Podiatrist | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2011-07-21 |
1508178336 | Richard Darren Stone | Family Medicine | 1029 Medical Center Cir, 200, Mayfield, KY 42066-1189 | 2010-07-09 |
1881927770 | Puneet Bhatia | Orthopaedic Surgery | 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066-1189 | 2009-09-10 |
1194959676 | Advanced Foot and Ankle Clinic Pllc | Podiatrist | 1029 Medical Center Cir, Suite 308, Mayfield, KY 42066-1189 | 2009-05-12 |
1891939690 | Pinelake Physician Practice LLC | Internal Medicine | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2009-04-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
Find all providers in zip 42066 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1891939690 | Pinelake Physician Practice LLC | Internal Medicine | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2009-04-23 |
1043264393 | Tyrone L Daniels | Internal Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881182657 | Have A Heart Foundation Inc | Internal Medicine | 310 E Broadway Ste 100, Louisville, KY 40202-1745 | 2018-04-27 |
1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
1992246953 | Northeast Cardiology Pllc | Internal Medicine | 1313 St.anthony Place, Louisville, KY 40204-0130 | 2017-03-10 |
1619325719 | Bluegrass Vascular Institute | Internal Medicine | 101 Financial Dr, Suite B103, Elizabethtown, KY 42701 | 2016-05-31 |
1427410596 | Lauren Albers | Internal Medicine | 550 South Jackson St, Louisville, KY 40202 | 2016-03-28 |
1396138202 | Louisville Cardiovascular Care Pllc | Internal Medicine | 1411 Hadleigh Pl, Louisville, KY 40222-5652 | 2015-03-17 |
1629481270 | Harleen Chahil | Internal Medicine | 201 Abraham Flexner Way Ste 600, Louisville, KY 40202-3841 | 2014-06-10 |
1710329776 | Jovil Kannampuzha | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2013-07-19 |
1972842201 | Francis Attah Benn | Internal Medicine | 900 S Limestone Ctw 326, Lexington, KY 40536-3609 | 2013-02-06 |
1578827630 | Ahmad Ramy Elashery | Internal Medicine | 900 S Limestone St Ctw 326, Lexington, KY 40536-5805 | 2012-07-03 |
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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.