ST. ELIZABETH PHYSICIANS (NPI# 1851734933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851734933 |
| Entity Type | Organization |
| Organization Name | ST. ELIZABETH PHYSICIANS |
| Practice Address |
2300 Chamber Center Dr Lakeside Park KY 41017-1673 |
| Practice Telephone | 8593445498 |
| Practice Fax Number | 8593445551 |
| Mailing Telephone | 8593445498 |
| Mailing Fax Number | 8593445551 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | DEBRA MARCIE SCHABELL (BILLING CLERK) |
| Authorized Official Telephone | 8593445498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. ELIZABETH PHYSICIANS | 1360 Dolwick Dr Ste 200, Erlanger, KY 41018-3159 |
| Ohio Business Entities | ST. ELIZABETH PHYSICIANS | 401 E. 20th Street - #6a, Covington, KY 41014 |
| Ohio Business Entities | ST. ELIZABETH PHYSICIANS HEART AND VASCULAR GROUP | 401 East 20th Street, Ste 6a, Covington, KY 41014 |
| Street Address |
2300 CHAMBER CENTER DR |
| City | LAKESIDE PARK |
| State | KY |
| Zip Code | 41017-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194165399 | Jessica Ryan Hall | Nurse Practitioner | 2300 Chamber Center Dr, Lakeside Park, KY 41017 | 2013-07-02 |
| 1992095038 | Noah B Allen | Urology | 2300 Chamber Center Dr, Suite 300, Lakeside Park, KY 41017-1686 | 2011-04-11 |
| 1720314966 | Bryan Fallis | Podiatrist | 2300 Chamber Center Dr, Suite 100, Lakeside Park, KY 41017-1673 | 2009-10-22 |
| 1275653909 | Fragge Allergy & Asthma Clinics Psc | Allergy & Immunology | 2300 Chamber Center Dr, Suite 102, Lakeside Park, KY 41017-1673 | 2007-03-29 |
| 1154367480 | Ellen Christine Schwartz | Family Medicine | 2300 Chamber Center Dr, Suite 100, Lakeside Park, KY 41017-1673 | 2006-06-22 |
| 1861444515 | Ronald Guy Fragge | Internal Medicine | 2300 Chamber Center Dr, Suite 102, Lakeside Park, KY 41017-1673 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674797 | Sarah Cb Tucker | Specialist | 1169 Eastern Pkwy, Suite 2313, Louisville, KY 40217-1417 | 2020-03-18 |
| 1306480967 | Shawnas Monique Moore | Specialist | 3007 Dr William G Weathers Dr, Louisville, KY 40211-1891 | 2019-11-06 |
| 1497303861 | Advanced Neuromonitoring Associates, Inc. | Specialist | 3802 Arbor Way, Crestwood, KY 40014-8222 | 2019-08-29 |
| 1225509979 | Karen Rae Digirolamo | Specialist | 800 Rose St Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1043781792 | Jennifer Bradley | Specialist | 800 Rose Street Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
| 1215407242 | Ann Powell | Specialist | 800 Rose Street Whitney Hendrickson Suite 306, Lexington, KY 40536-0001 | 2018-12-03 |
| 1922578160 | Robert B Slocum | Specialist | Whitney-hendrickson Building 3rd Floor, Lexington, KY 40536-0001 | 2018-11-30 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1346735214 | Stepp Fitness | Specialist | 1306 Kingdom Come Dr, Cumberland, KY 40823-1580 | 2018-06-24 |
| 1760972954 | Surgical First Assisting LLC | Specialist | 220 Mcintosh Dr, Taylorsville, KY 40071-8404 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | LAKESIDE PARK |
| Zip Code | 41017 |
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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.