TWIN LAKES MEDICAL FOUNDATION, INC. (NPI# 1871821454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871821454 |
| Entity Type | Organization |
| Organization Name | TWIN LAKES MEDICAL FOUNDATION, INC. |
| Other Organization Name | PULMONOLOGY |
| Practice Address |
912 Wallace Ave Leitchfield KY 42754-2404 |
| Practice Telephone | 2702300286 |
| Practice Fax Number | 2702300293 |
| Mailing Telephone | 2702300286 |
| Mailing Fax Number | 2702300293 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | LOU ELLIOTT (BUSINESS ADMINISTRATION) |
| Authorized Official Telephone | 2702599580 |
| Is Organization Subpart | Y |
| Parent Organization Name | TWIN LAKES MEDICAL FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pulmonology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952616070 | Twin Lakes Medical Foundation, Inc. | Preventive Medicine | 1895 Elizabethtown Rd., Leitchfield, KY 42754-9138 | 2010-08-12 |
| 1053638288 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2010-04-28 |
| 1295052975 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2010-04-21 |
| 1275762221 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2009-07-13 |
| 1730337726 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 9847 Elizabethtown Rd, Big Clifty, KY 42712-5880 | 2008-09-03 |
| 1326214172 | Twin Lakes Medical Foundation, Inc. | Hearing Instrument Specialist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2008-05-01 |
| 1861668618 | Twin Lakes Medical Foundation, Inc. | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2008-05-01 |
| 1902982002 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2006-10-31 |
| 1720164825 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 301 Sunset Dr, Caneyville, KY 42721-9172 | 2006-10-31 |
| 1003820812 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2006-07-28 |
| Street Address |
912 WALLACE AVE |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348213 | Charles D Jarboe | Family Medicine | 912 Wallace Ave, Suite 103, Leitchfield, KY 42754-2404 | 2005-07-06 |
| 1629611843 | Jamie M Niehaus | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2019-10-21 |
| 1679902753 | Kristin Anne Buck | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2013-11-08 |
| 1881026425 | Clay D Vincent | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2013-08-06 |
| 1811338858 | Cari Beth Johnson | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2013-07-06 |
| 1295052975 | Twin Lakes Medical Foundation, Inc. | Nurse Practitioner | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2010-04-21 |
| 1447473392 | Craig A. Johnson, M.d., Psc | Obstetrics & Gynecology | 912 Wallace Ave, Suite 101, Leitchfield, KY 42754-2404 | 2007-04-10 |
| 1487757134 | Gregory G. Skaggs Md | Specialist | 912 Wallace Ave, Suite 105, Leitchfield, KY 42754-2404 | 2006-09-07 |
| 1003820812 | Twin Lakes Medical Foundation, Inc. | Pediatrics | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2006-07-28 |
| 1609898741 | Dinah M. Crain | Nurse Practitioner | 912 Wallace Ave, #105, Leitchfield, KY 42754-2404 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| Find all providers in zip 42754 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1437700754 | Yasinmd Pllc | Internal Medicine | 13304 Ridgemoor Dr, Prospect, KY 40059-7139 | 2019-09-27 |
| 1689232258 | Methodist Health, Inc. | Internal Medicine | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2019-05-30 |
| 1841661410 | Sleep Care Specialist of Louisville | Internal Medicine | 250 E Liberty St Ste 902, Louisville, KY 40202-1538 | 2015-10-08 |
| 1780926279 | Inspired Medical Services, LLC | Internal Medicine | 9805 Brownsboro Rd, Suite 101, Louisville, KY 40241-1125 | 2013-03-22 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1518275379 | Matthew James Craig | Internal Medicine | 1225 S Broadway Ste 201, Lexington, KY 40504-2701 | 2010-09-15 |
| 1992969604 | William Benjamin Cundiff | Internal Medicine | 110 Layman Ln, Elizabethtown, KY 42701-2523 | 2008-07-11 |
| 1124297361 | Rejmon Dedaj | Internal Medicine | 2609 New Hartford Rd, Owensboro, KY 42303-1316 | 2008-02-21 |
| 1689758799 | Srinivas M Ammisetty | Internal Medicine | 9350 Us Hwy 23 South, Suite 104, Stanville, KY 41659 | 2006-10-25 |
| 1790888683 | Firas A Koura | Internal Medicine | 1138 Lexington Rd Ste 230, Georgetown, KY 40324-9672 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
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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.