EASTERN KY TENDER CARE PEDIATRICS, LLC (NPI# 1831190115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831190115 |
| Entity Type | Organization |
| Organization Name | EASTERN KY TENDER CARE PEDIATRICS, LLC |
| Practice Address |
5000 Ky Route 321 Suite 3141 Prestonsburg KY 41653-9113 |
| Mailing Address |
Po Box 697 Prestonsburg KY 41653-0697 |
| Practice Telephone | 6068867517 |
| Practice Fax Number | 6068867524 |
| Mailing Telephone | 6068867517 |
| Mailing Fax Number | 6068867524 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANTOIN HANA (OWNER) |
| Authorized Official Telephone | 6068867517 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000260816 | 01 |
| Street Address |
5000 KY ROUTE 321 SUITE 3141 |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-9113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841821568 | Brady Edward Bowman | Nurse Anesthetist, Certified Registered | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2020-01-31 |
| 1770128167 | Chase Ryan Christensen | Physical Therapist | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-11-09 |
| 1306481791 | Nia Nikita Patel | Physical Therapist | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-11-09 |
| 1073157889 | Amanda Conn | Physical Therapy Assistant | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-11-05 |
| 1528616463 | Angela Dawn Spurlock | Nurse Practitioner | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-09-03 |
| 1063074581 | Arh Tug Valley Health Services, Inc. | Psychiatric Unit | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-04 |
| 1992367569 | Arh Tug Valley Health Services, Inc. | Family Medicine | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-03 |
| 1659933216 | Arh Tug Valley Health Services, Inc. | Clinical Medical Laboratory | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-03 |
| 1285296848 | Arh Tug Valley Health Services, Inc. | Medicare Defined Swing Bed Unit | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-03 |
| 1043878325 | Arh Tug Valley Health Services, Inc. | General Acute Care Hospital | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-06-03 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072757 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 302 Walnut Street, Pineville, KY 40977 | 2020-10-28 |
| 1316553167 | Flaget Healthcare Inc | Clinic/Center | 2387 Main St, Willisburg, KY 40078-8102 | 2020-09-17 |
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1154950699 | Family Health Care Associates 6 Limited Liability Company | Clinic/Center | 8070 Us Highway 60 W, Lewisport, KY 42351-7087 | 2020-04-06 |
| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
Please comment or provide details below to improve the information on EASTERN KY TENDER CARE PEDIATRICS, LLC.
| 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.