DR. FREDERICK THANE DEWEESE (NPI# 1891784757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891784757 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK THANE DEWEESE |
| Credential | M.D. |
| Practice Address |
4787 Alben Barkley Drive Paducah KY 42002 |
| Mailing Address |
510 Lincoln Drive Herrin IL 62948 |
| Practice Telephone | 2704429461 |
| Practice Fax Number | 2704410079 |
| Mailing Telephone | 6189976800 |
| Mailing Fax Number | 6189971187 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 36333 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64028889 | 05 |
| Street Address |
4787 ALBEN BARKLEY DRIVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267818 | Frank Robert Burch | Physician Assistant | 4787 Alben Barkley Drive, Paducah, KY 42001 | 2005-07-01 |
| 1578858742 | Jerry Solon Smith | Physician Assistant | 4787 Alben Barkley Drive, Paducah, KY 42002 | 2011-06-15 |
| 1386865426 | Kenneth Brandon Strenge | Orthopaedic Surgery | 4787 Alben Barkley Drive, Paducah, KY 42002 | 2007-05-02 |
| 1427165554 | Southern Orthopedic Associates, S.c. | Physical Therapist | 4787 Alben Barkley Drive, Paducah, KY 42002 | 2006-08-24 |
| 1316965916 | Clint P Hill | Orthopaedic Surgery | 4787 Alben Barkley Drive, Paducah, KY 42001 | 2006-07-18 |
| 1245260108 | William R. Adams, II II | Podiatrist | 4787 Alben Barkley Drive, Paducah, KY 42002 | 2006-07-04 |
| 1962483941 | Wendell Wright | Occupational Therapist | 4787 Alben Barkley Drive, Paducah, KY 42002 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851435366 | Daniel Robert Quinlan | Optometrist | 609 Broadway, Paducah, KY 42002 | 2007-02-16 |
| 1639145220 | The Paducah Orthopaedic Clinic | Orthopaedic Surgery | 1532 Lone Oak Rd, Ste 310, Paducah, KY 42002 | 2006-02-24 |
| 1447264916 | Biokinetics Inc. | Physical Therapist | 1665 Oak Park Blvd, Calvert City, KY 42002-1176 | 2006-07-28 |
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578826061 | Jason Gregory Patton | Orthopaedic Surgery | 4787 Alben Barkley Dr, Paducah, KY 42001 | 2012-06-19 |
| 1184912909 | Ryan Tyler Beck | Orthopaedic Surgery | 4787 Alben Barkley Dr, Paducah, KY 42001-6789 | 2011-07-13 |
| 1659535409 | Spencer Elton Romine | Orthopaedic Surgery | 4787 Alben Barkley Dr, Paducah, KY 42001-6789 | 2008-07-10 |
| 1124231824 | Brian Kern | Orthopaedic Surgery | 4787 Alben Barkley Dr, Suite 103, Paducah, KY 42001-6789 | 2007-05-08 |
| 1053473892 | Philip G Hunt M D Orthopedics P S C | Orthopaedic Surgery | 225 Medical Center Dr, Suite 406, Paducah, KY 42003-7914 | 2006-12-15 |
| 1629172234 | Philip G Hunt | Orthopaedic Surgery | 225 Medical Center Dr, Suite 406, Paducah, KY 42003-7914 | 2006-09-12 |
| 1336256460 | William J Stodghill | Orthopaedic Surgery | 2605 Kentucky Ave, Ste 103, Paducah, KY 42003-3800 | 2006-08-24 |
| 1235152943 | Ted H Jefferson | Orthopaedic Surgery | 2605 Kentucky Ave, Dob#3 Suite 602, Paducah, KY 42003-3800 | 2006-07-25 |
| 1679593990 | Ted H Jefferson D.o., Inc. | Orthopaedic Surgery | 2605 Kentucky Ave, Dob#3 Suite 602, Paducah, KY 42003-3800 | 2006-07-20 |
| 1316965916 | Clint P Hill | Orthopaedic Surgery | 4787 Alben Barkley Drive, Paducah, KY 42001 | 2006-07-18 |
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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.