RICHARD BAILEY M.D. MEDICAL PRACTICE, LLC (NPI# 1871693663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871693663 |
| Entity Type | Organization |
| Organization Name | RICHARD BAILEY M.D. MEDICAL PRACTICE, LLC |
| Practice Address |
975 Hopkinsville Rd Russellville KY 42276-9774 |
| Practice Telephone | 2707258350 |
| Practice Fax Number | 2707258891 |
| Mailing Telephone | 2707258350 |
| Mailing Fax Number | 2707258891 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD BAILEY (MEDICAL DOCTOR) |
| Authorized Official Telephone | 2707258350 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 38418 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000316055 | 01 |
| KY | 64079056 | 05 |
| Street Address |
975 HOPKINSVILLE RD |
| City | RUSSELLVILLE |
| State | KY |
| Zip Code | 42276-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699796334 | Logan Memorial Hospital | Family Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2006-07-21 |
| 1013408053 | Logan Physician Practice LLC | Internal Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2018-05-25 |
| 1013145705 | Great Physician Health Services | Internal Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2009-07-01 |
| 1053557645 | Heather A Goodall | Nurse Practitioner | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2009-01-02 |
| 1497867089 | Logan Pediatrics, Pllc | Pediatrics | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2006-08-31 |
| 1750380382 | Charles H. Mathis | Family Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
| 1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
| 1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
| 1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
| Find all providers in zip 42276 | ||||
| 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 |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1437499068 | Douglas H Lowrey | Family Medicine | 301 S Utah Ave, Russellville, AR 72801-5626 | 2013-02-19 |
| 1174761167 | Wellness Consulting Services Inc | Family Medicine | 1605 West C Place, Russellville, AR 72801 | 2009-01-28 |
| 1437346624 | Southern Rural Health Care Consortium | Family Medicine | 15225 Hwy 43 Bypass, Russellville, AL 35653-0000 | 2007-10-02 |
| 1285849729 | Ryan Albert Gregorio | Family Medicine | 605 Gandy St Ne, Russellville, AL 35653-1911 | 2007-05-10 |
| 1760537633 | Harry Willi Kuberg | Family Medicine | 15225 Highway 43 Ste F, Russellville, AL 35653-1969 | 2007-01-23 |
| 1144395211 | Lawrence J. Gotts | Family Medicine | 1621 S Nashville St, Suite 104, Russellville, KY 42276-8871 | 2006-11-22 |
| 1063520278 | Laura M Lindsey | Family Medicine | 537 Gandy St Ne, Russellville, AL 35653-1965 | 2006-08-28 |
| 1699796334 | Logan Memorial Hospital | Family Medicine | 975 Hopkinsville Rd, Russellville, KY 42276-9774 | 2006-07-21 |
| 1154350213 | Monfee Medical Clinic | Family Medicine | 3812 W. Main St., Russellville, AR 72811 | 2006-07-01 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
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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.