EAST BERNSTADT MEDICAL CLINIC (NPI# 1831158187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831158187 |
| Entity Type | Organization |
| Organization Name | EAST BERNSTADT MEDICAL CLINIC |
| Other Organization Name | LONDON CORBIN MEDICAL CLINIC |
| Practice Address |
Us Hwy 25 South Us Hwy 25 South Lily KY 40740 |
| Practice Telephone | 6065231660 |
| Practice Fax Number | 6065231665 |
| Mailing Telephone | 6065231660 |
| Mailing Fax Number | 6065231665 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | MS. CARLA JEAN JOHNSON (INS. BILLING CREDENTIALING CLERK) |
| Authorized Official Telephone | 6068436195 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65916660 | 05 |
| Other Name | Type Code |
|---|---|
| London Corbin Medical Clinic | Doing Business As Name - Organization |
| Street Address |
US HWY 25 SOUTH US HWY 25 SOUTH |
| City | LILY |
| State | KY |
| Zip Code | 40740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831615962 | Lacey Davis | Occupational Therapist | 1425 American Greeting Card Road, Corbin, KY 40740 | 2017-08-21 |
| 1164534152 | Suzanne Kelly Yount | Physician Assistant | U.S. Hwy 25 South, U.S. Hwy 25 South, Lily, KY 40740 | 2006-08-31 |
| 1629508296 | Grace Community Health Center Inc | Physician Assistant | 1419 Cumberland Falls Highway, Corbin, KY 40740-2722 | 2017-06-15 |
| 1336756386 | April Louise Mcdonald | Nurse Practitioner | 149 Sugar Ln, Lily, KY 40740-3012 | 2020-09-24 |
| 1801240213 | Juanita Westerfield | Social Worker | 90 Deborah Ln, Lily, KY 40740-3080 | 2016-04-21 |
| 1467769224 | Angela Marie Wagers | Early Intervention Provider Agency | 85 Wagers Rd, Lily, KY 40740-3374 | 2010-08-31 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
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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.