KINGS DAUGHTERS MEDICAL SPECIALTIES INC (NPI# 1811270010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811270010 |
| Entity Type | Organization |
| Organization Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Other Organization Name | KINGS DAUGHTERS MEDICAL SPECIALTIES RUSSELL |
| Practice Address |
399 Diederich Blvd Ashland KY 41101 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6063260470 |
| Practice Fax Number | 6063260474 |
| Mailing Telephone | 6064084000 |
| Mailing Fax Number | 6063260474 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | MR. PAUL L MCDOWELL (VICE PRESIDENT - FINANCE) |
| Authorized Official Telephone | 6064084000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | KY | Allopathic & Osteopathic Physicians | |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
700229 | KY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kings Daughters Medical Specialties Russell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285970608 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 1901 Argonne Road, Portsmouth, OH 45662 | 2012-12-13 |
| 1356664486 | Kings Daughters Medical Specialties Inc | Physician Assistant | 1200 Central Ave Ste 3, Ashland, KY 41101-7575 | 2010-03-03 |
| 1467781997 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 617 23rd St Ste 400, Ashland, KY 41101-2880 | 2009-12-11 |
| 1972830404 | Kings Daughters Medical Specialties Inc | Internal Medicine | 336 29th St Ste 101, Ashland, KY 41101-1976 | 2009-11-04 |
| 1275871907 | Kings Daughters Medical Specialties Inc | Family Medicine | 1901 Argonne Road, Portsmouth, OH 45662 | 2013-01-31 |
| 1184912453 | Kings Daughters Medical Specialties Inc | Internal Medicine | 613 23rd St Ste 130, Ashland, KY 41101-2876 | 2011-07-20 |
| 1558653618 | Kings Daughters Medical Specialties Inc | Internal Medicine | 617 23rd St Ste 400, Ashland, KY 41101 | 2011-05-09 |
| 1215238662 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2010-11-16 |
| 1720397409 | Kings Daughters Medical Specialties Inc | Plastic Surgery | 617 23rd St Ste 105, Ashland, KY 41101-2890 | 2010-09-29 |
| 1669791323 | Kings Daughters Medical Specialties Inc | Pediatrics | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2010-05-20 |
| Street Address |
399 DIEDERICH BLVD |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470258 | Luther Daniel Hall | Family Medicine | 399 Diederich Blvd, Ashland, KY 41101 | 2005-07-08 |
| 1619594785 | Ashalnd Hospital Corporation | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2020-07-06 |
| 1396387007 | Katharine Celeste Bartram | Registered Nurse | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2019-10-14 |
| 1710462395 | Charles David Mccormick | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2018-09-28 |
| 1720522493 | Susan Ruby Sammons | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2016-12-14 |
| 1033666524 | Rita Nicole Fletcher | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2016-09-01 |
| 1427146562 | John Glenn Clay | Nurse Practitioner | 399 Diederich Blvd, Ashland, KY 41101-7007 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1598200602 | Supportive Med | Clinic/Center | 1224 Hoods Creek Pike, Ashland, KY 41101-7220 | 2016-12-28 |
| 1992258305 | Grayson Health Park | Clinic/Center | 2020 W Hearthstone Ct, Ashland, KY 41102-9445 | 2016-08-02 |
| 1518254747 | Timothy S. Hart, Md, Psc | Clinic/Center | 933 29th St, Ashland, KY 41101-3021 | 2011-07-08 |
| 1043775091 | Aja Morningstar, P.C. | Clinic/Center | 534 Washington St, Ashland, OR 97520-1682 | 2019-02-04 |
| 1477066421 | Real Life Health, LLC | Clinic/Center | 705 N 17th Ave, Ashland, NE 68003-1209 | 2017-11-13 |
| 1114397528 | Noah D. Perlman, LLC | Clinic/Center | 534 Washington St, Ashland, OR 97520-1682 | 2015-09-28 |
| 1467855445 | Clay County Healthcare Authority | Clinic/Center | 83745 Highway 9, Ashland, AL 36251-7988 | 2014-10-03 |
| 1437418944 | Luciene Borowik Md PC | Clinic/Center | 117 Catawissa Rd, Ashland, PA 17921-1328 | 2012-05-04 |
| 1194947283 | Madrona Naturopathic Medicine Clinic, PC | Clinic/Center | 1875 Hwy 99 N, Suite 2, Ashland, OR 97520 | 2007-05-02 |
| 1134137557 | Mainstreet Clinic Sc | Clinic/Center | 1001 Main St W, Ashland, WI 54806-1307 | 2006-08-03 |
| Find all providers in ASHLAND | ||||
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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.