TWIN LAKES MEDICAL FOUNDATION, INC. (NPI# 1760485338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760485338 |
Entity Type | Organization |
Organization Name | TWIN LAKES MEDICAL FOUNDATION, INC. |
Other Organization Name | THE CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE |
Practice Address |
912 Wallace Ave Leitchfield KY 42754-2404 |
Practice Telephone | 2702300124 |
Mailing Telephone | 2702300124 |
Enumeration Date | 2005-05-27 |
Last Update Date | 2013-04-11 |
Authorized Official Name | LOU ELLIOTT (BUSINESS ADMINISTRATION) |
Authorized Official Telephone | 2702599580 |
Is Organization Subpart | Y |
Parent Organization Name | TWIN LAKES MEDICAL FOUNDATION, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | NA | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | ANTHEM | 000000341619 | 01 |
KY | PASSPORT ADVANTAGE | 2446227000 | 01 |
KY | 65943045 | 05 | |
KY | PASSPORT | 50004883 | 01 |
Other Name | Type Code |
---|---|
THE CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952616070 | Twin Lakes Medical Foundation, Inc. | Preventive Medicine | 1895 Elizabethtown Rd., Leitchfield, KY 42754-9138 | 2010-08-12 |
1053638288 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2010-04-28 |
1295052975 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2010-04-21 |
1871821454 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2009-11-19 |
1275762221 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2009-07-13 |
1730337726 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2008-09-03 |
1326214172 | Twin Lakes Medical Foundation, Inc. | Hearing Instrument Specialist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2008-05-01 |
1861668618 | Twin Lakes Medical Foundation, Inc. | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2008-05-01 |
1902982002 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2006-10-31 |
1720164825 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 301 Sunset Dr, Caneyville, KY 42721-9172 | 2006-10-31 |
Street Address |
912 WALLACE AVE |
City | LEITCHFIELD |
State | KY |
Zip Code | 42754-2404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356348213 | Charles D Jarboe | Family Medicine | 912 Wallace Ave, Suite 103, Leitchfield, KY 42754-2404 | 2005-07-06 |
1629611843 | Jamie M Niehaus | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2019-10-21 |
1679902753 | Kristin Anne Buck | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2013-11-08 |
1881026425 | Clay D Vincent | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2013-08-06 |
1811338858 | Cari Beth Johnson | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2013-07-06 |
1295052975 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2010-04-21 |
1871821454 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2009-11-19 |
1447473392 | Craig A. Johnson, M.d., Psc | Obstetrics & Gynecology | 912 Wallace Ave, Suite 101, Leitchfield, KY 42754-2404 | 2007-04-10 |
1487757134 | Gregory G. Skaggs Md | Specialist | 912 Wallace Ave, Suite 105, Leitchfield, KY 42754-2404 | 2006-09-07 |
1003820812 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2006-07-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
Find all providers in zip 42754 |
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 |
---|---|---|---|---|
1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
1821091208 | Twin Lakes Medical Foundation, Inc. | Orthopaedic Surgery | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2005-05-31 |
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 |
Find all providers with the same taxonomy |
City | LEITCHFIELD |
Zip Code | 42754 |
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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.