PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC (NPI# 1811049281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811049281 |
Entity Type | Organization |
Organization Name | PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC |
Practice Address |
1330 N Race St Suite 2 Glasgow KY 42141-3465 |
Practice Telephone | 2706516791 |
Practice Fax Number | 2706513182 |
Mailing Telephone | 2706516791 |
Mailing Fax Number | 2706513182 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. SANDRA SIMMONS (OFFICE MANAGER) |
Authorized Official Telephone | 2706516791 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
KY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073503611 | Primary Care Associates of Southern Kentucky, Pllc | Family Medicine | 1330 N Race St, Suite 2, Glasgow, KY 42141-3465 | 2005-10-25 |
Street Address |
1330 N RACE ST SUITE 2 |
City | GLASGOW |
State | KY |
Zip Code | 42141-3465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073503611 | Primary Care Associates of Southern Kentucky, Pllc | Family Medicine | 1330 N Race St, Suite 2, Glasgow, KY 42141-3465 | 2005-10-25 |
1932551926 | Gilbert Barbee Moore & Mcilvoy Psc | Durable Medical Equipment & Medical Supplies | 1330 N Race St, Glasgow, KY 42141-3465 | 2016-07-01 |
1013317981 | Western Kentucky Orthopaedic and Neurosurgical Associates Pllc | Durable Medical Equipment & Medical Supplies | 1330 N Race St, Glasgow, KY 42141-3465 | 2014-08-28 |
1417367376 | James M. Clements | Family Medicine | 1330 N Race St, Glasgow, KY 42141-3465 | 2014-04-30 |
1679737209 | Ashley Ann Norris | Internal Medicine | 1330 N Race St, Glasgow, KY 42141-3465 | 2008-07-13 |
1841487659 | Charles A Turner | Internal Medicine | 1330 N Race St, Glasgow, KY 42141-3465 | 2007-09-26 |
1053502260 | Beverly Jo Mortimer | Nurse Practitioner | 1330 N Race St, Glasgow, KY 42141-3465 | 2007-08-05 |
1942406228 | Charles Kevin Bryant | Physical Therapist | 1330 N Race St, Glasgow, KY 42141-3465 | 2007-06-25 |
1376533992 | Phillip W Bale | Family Medicine | 1330 N Race St, Glasgow, KY 42141-3465 | 2005-10-25 |
1174513790 | William J Travis | Internal Medicine | 1330 N Race St, Glasgow, KY 42141-3465 | 2005-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
Find all providers in zip 42141 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265078455 | Brandi Lynn Knierim | Nurse Practitioner | 24 Newton Ave, Glasgow, MT 59230 | 2019-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891393864 | Lindsay Ann Traeger | Nurse Practitioner | 633 E Main St Unit 553, Louisville, KY 40202-4739 | 2020-10-13 |
1790396331 | Kelley Rachelle Mcgarvey | Nurse Practitioner | 8174 Mall Rd, Florence, KY 41042-1414 | 2020-08-16 |
1093339772 | Melony Jill Jaggers | Nurse Practitioner | 9798 Ky-259, Mcdaniels, KY 40152-7127 | 2020-05-29 |
1316569270 | Glenn Allen Argento | Nurse Practitioner | 10039 Braxton Dr, Union, KY 41091-7631 | 2020-05-14 |
1104455682 | Right Time Clinics, LLC | Nurse Practitioner | 715 Shaker Dr Ste 80, Lexington, KY 40504-3628 | 2020-04-06 |
1518517655 | Alternative Health Solutions LLC | Nurse Practitioner | 235 Boggs Ln Ste 12&3, Richmond, KY 40475-2584 | 2019-09-19 |
1598239592 | Christina Leigh Barnett | Nurse Practitioner | 2337 Sir Barton Way, Lexington, KY 40509-2474 | 2019-01-14 |
1669974119 | Donald Ray Avery Jr. | Nurse Practitioner | 801 Barret Ave Ste 314, Louisville, KY 40204-1734 | 2018-03-01 |
1831632355 | Dulce Amor Alcuino Davis | Nurse Practitioner | 1012 Weda Cir, Mayfield, KY 42066-3169 | 2016-12-01 |
1992157002 | Markitta A Brown | Nurse Practitioner | 134 Roy Jenkins Dr, Corbin, KY 40701-3913 | 2016-07-13 |
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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.