MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC (NPI# 1770734691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770734691 |
Entity Type | Organization |
Organization Name | MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC |
Other Organization Name | MARCUM & WALLACE MEMORIAL HOSPITAL, INC. |
Practice Address |
60 Mercy Ct Irvine KY 40336-1331 |
Mailing Address |
Po Box 636544 Cincinnati OH 45263-6544 |
Practice Telephone | 6067232115 |
Practice Fax Number | 6067232951 |
Mailing Telephone | 6067232115 |
Mailing Fax Number | 6067232951 |
Enumeration Date | 2008-10-09 |
Last Update Date | 2019-05-02 |
Authorized Official Name | MS. TRENA LYNN STOCKER (PRESIDENT) |
Authorized Official Telephone | 8597790148 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 208600000X | Surgery | KY | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Marcum & Wallace Memorial Hospital, Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902895964 | Mercy Health-marcum & Wallace Hospital LLC | Medicare Defined Swing Bed Unit | 60 Mercy Ct, Irvine, KY 40336-1331 | 2005-10-20 |
1487643821 | Mercy Health-marcum & Wallace Hospital LLC | Early Intervention Provider Agency | 60 Mercy Ct, Irvine, KY 40336-1331 | 2005-10-18 |
Street Address |
60 MERCY CT |
City | IRVINE |
State | KY |
Zip Code | 40336-1331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285632109 | Marcum & Wallace Memorial Hospital | General Acute Care Hospital | 60 Mercy Ct, Irvine, KY 40336-1331 | 2005-07-13 |
1033661749 | Marcum & Wallace Memorial Hospital | Pharmacy | 60 Mercy Ct, Irvine, KY 40336-1331 | 2016-10-28 |
1407235666 | Emergency Medicine Physicians of Estill County,pllc | Physician Assistant | 60 Mercy Ct, Irvine, KY 40336 | 2015-05-21 |
1871869198 | Amanda G Miller | Social Worker | 60 Mercy Ct, Irvine, KY 40336-1331 | 2012-03-30 |
1639406200 | Laura Ashley Dennis | Dietitian, Registered | 60 Mercy Ct, Irvine, KY 40336-1331 | 2009-11-03 |
1982875969 | Marcum & Wallace Memorial Hospital | Clinical Medical Laboratory | 60 Mercy Ct, Irvine, KY 40336-1331 | 2008-03-18 |
1508035833 | Lisa Gail Patton | Pharmacist | 60 Mercy Ct, Irvine, KY 40336-1331 | 2008-02-20 |
1225238728 | William S. Witt Pllc | Radiology | 60 Mercy Ct, Irvine, KY 40336-1331 | 2007-07-23 |
1356545099 | William S. Witt, Pllc | Radiology | 60 Mercy Ct, Marcum & Wallace Hospital, Irvine, KY 40336-1331 | 2007-06-14 |
1760569123 | Commonwealth Urology, Psc | Specialist | 60 Mercy Ct, Irvine, KY 40336-1331 | 2006-11-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
1790076156 | Jan Andrea Brandenburg | Pharmacist | 110 Richmond Road, Irvine, KY 40336 | 2011-04-20 |
1427283647 | Health Help Incorporated | Clinic/Center | 30 Stacy Lane Road, Irvine, KY 40336 | 2009-05-18 |
1003037375 | Bluegrass Cardiology Psc | Internal Medicine | 60 Mercy Court, Irvine, KY 40336 | 2007-05-02 |
1770705873 | Herbert W Long | Clinic/Center | 417 River Drive, Irvine, KY 40336 | 2007-05-02 |
1255478053 | Lisa M Ford | Dentist | 161 Richmond Rd, Irvine, KY 40336 | 2007-01-31 |
1750468047 | Jason W Gay | Dentist | 10 River Drive, Irvine, KY 40336 | 2006-11-01 |
1184718702 | Lawrence Edward Griesinger IIi | Psychologist | 100 Tyler Lane, Irvine, KY 40336 | 2006-10-03 |
1013198753 | Kristy Lee Bledsoe | Dietitian, Registered | 365 River Drive, Irvine, KY 40336-0115 | 2007-11-23 |
1043496813 | Amy M Pendleton | Nurse Practitioner | 365 River Drive, Irvine, KY 40336-0115 | 2008-01-11 |
Find all providers in zip 40336 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215302393 | Innovation Surgery Inc. | Surgery | 50 Deer Trak, Irvine, CA 92618-8812 | 2015-12-01 |
1528408556 | Southern California Assistant Surgeons Inc. | Surgery | 229 Rhythm, Irvine, CA 92603-4254 | 2013-07-05 |
1093056780 | Elizabeth Arcila | Surgery | 16305 Sand Canyon Ave Ste 260, Irvine, CA 92618 | 2013-03-06 |
1588828180 | Harish C Chawla | Surgery | 34 Modesto, Irvine, CA 92602-0930 | 2008-07-12 |
1932308285 | Sejal M Patel | Surgery | 17900 Von Karman Ave, Ste 150, Irvine, CA 92614-4296 | 2007-07-17 |
1912102161 | Uc Regents Surgery Laser University Phy | Surgery | 1002 Health Sciences Rd East, Irvine, CA 92612-3010 | 2007-06-18 |
1083829956 | Siamak Milanchi | Surgery | 16300 Sand Canyon Ave Ste 604, Irvine, CA 92618-3706 | 2007-05-13 |
1245455161 | Gilbert Arnold Zuker | Surgery | 15 New Dawn, Irvine, CA 92620-1976 | 2007-04-16 |
1568990489 | Heather Colleen Moore | Surgery | 16250 Sand Canyon Ave, Irvine, CA 92618-3714 | 2017-05-23 |
1821541921 | Heather R Macdonald Md A Medical Corporation | Surgery | 16305 Sand Canyon Ave, Suite 160, Irvine, CA 92618-3782 | 2016-07-26 |
Find all providers in IRVINE |
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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.