MANNAN MD MEDICAL CLINIC LLC (NPI# 1770976631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770976631 |
| Entity Type | Organization |
| Organization Name | MANNAN MD MEDICAL CLINIC LLC |
| Practice Address |
5230 Ky Route 321 Suite 6 Prestonsburg KY 41653-9168 |
| Practice Telephone | 6068899994 |
| Practice Fax Number | 6068890909 |
| Mailing Telephone | 6068899994 |
| Mailing Fax Number | 6068890909 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | SHOYEB SIKDER (MANAGER) |
| Authorized Official Telephone | 6068868880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5230 KY ROUTE 321 SUITE 6 |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-9168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366480436 | Huntington Vamc | Clinic/Center | 5230 Ky Route 321, Suite 8, Prestonsburg, KY 41653-9169 | 2006-06-02 |
| 1528425667 | Anthonea Lea Hall-halfhill | Social Worker | 5230 Ky Route 321, Suite 8, Prestonsburg, KY 41653-9168 | 2016-01-20 |
| 1689085201 | Jaclyn Marie Little | Nurse Practitioner | 5230 Ky Route 321, Suite 4, Prestonsburg, KY 41653-9168 | 2014-05-16 |
| 1689984155 | Cardio Sleep Solutions Kentucky LLC | Dentist | 5230 Ky Route 321, Suite 2, Prestonsburg, KY 41653-9169 | 2010-10-18 |
| 1063742724 | Ayesha M Sikder Md LLC | Nurse Practitioner | 5230 Ky Route 321, Suite # 4, Prestonsburg, KY 41653-9168 | 2009-12-31 |
| 1457686529 | Healthy Heart Sleep Program | Durable Medical Equipment & Medical Supplies | 5230 Ky Route 321, Suite 2, Prestonsburg, KY 41653-9168 | 2009-10-07 |
| 1720211618 | Highlands Medical Partners II | Clinic/Center | 5230 Ky Route 321, Suite 2, Prestonsburg, KY 41653-9168 | 2009-08-26 |
| 1295952752 | Kimberly Frazier Kelsey | Social Worker | 5230 Ky Route 321, Suite 8, Prestonsburg, KY 41653-9168 | 2007-04-19 |
| 1366521387 | Ayesha M. Sikder Md LLC | Nurse Practitioner | 5230 Ky Route 321, Suite # 4, Prestonsburg, KY 41653-9168 | 2006-11-02 |
| 1376620773 | Ayesha M Sikder | Internal Medicine | 5230 Ky Route 321, Suite # 4, Prestonsburg, KY 41653-9168 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1700220027 | Joshua Timothy Minix | Internal Medicine | 5000 Ky Route 321 Ste 3141, Prestonsburg, KY 41653-9113 | 2013-04-18 |
| 1871641043 | Webb Medical Group Psc | Internal Medicine | 93 Pickett Ln, Prestonsburg, KY 41653-8569 | 2007-01-06 |
| 1255489415 | Jack Kendrick Jr. | Internal Medicine | 117 Oak Ridge Ct, Prestonsburg, KY 41653-8607 | 2007-01-06 |
| 1871922864 | Highlands Heart and Vascular LLC | Internal Medicine | 5000 Ky Route 321, Suite 4102, Prestonsburg, KY 41653-9113 | 2013-11-11 |
| 1215218474 | Gary Nicholas Francis | Internal Medicine | 5000 Ky Route 321, Suite 3102b, Prestonsburg, KY 41653-9113 | 2011-09-01 |
| 1194037432 | Swaty Arora | Internal Medicine | 5000 Ky Route 321, Suite 1001, Prestonsburg, KY 41653-9113 | 2010-07-01 |
| 1558415869 | Consolidated Health Systems Inc | Internal Medicine | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2007-01-23 |
| 1376620773 | Ayesha M Sikder | Internal Medicine | 5230 Ky Route 321, Suite # 4, Prestonsburg, KY 41653-9168 | 2006-11-01 |
| 1588741904 | Mohammad Y Mannan | Internal Medicine | 5230 Ky Route 321, Suite # 6, Prestonsburg, KY 41653-9168 | 2006-11-01 |
| 1780769422 | Anthony C Stumbo | Internal Medicine | 5000 Ky Rt 321, Suite 3102, Prestonsburg, KY 41653 | 2006-10-25 |
| Find all providers in PRESTONSBURG | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
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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.