DR. CLETUS KOBIAH OPPONG (NPI# 1912264284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912264284 |
| Entity Type | Individual |
| Full Name | DR. CLETUS KOBIAH OPPONG |
| Credential | M.D |
| Practice Address |
2211 Mayfair Dr Ste 102 Owensboro KY 42301-4569 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2706881351 |
| Practice Fax Number | 2706833420 |
| Mailing Telephone | 2796881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
53413 | KY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 73916 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2211 Mayfair Dr Ste 102, Owensboro, KY 423014569 | 2706881351 | 2706833420 |
| 47 New Scotland Ave, Department of Anesthesiology, Albany, NY 122083412 | 5182623095 |
| Street Address |
2211 MAYFAIR DR STE 102 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215172721 | Kirsten M Ahnell | Physician Assistant | 2211 Mayfair Dr Ste 102, Owensboro, KY 42301-4569 | 2008-12-12 |
| 1962981084 | Sal Blake | Physician Assistant | 2211 Mayfair Dr Ste 102, Owensboro, KY 42301 | 2018-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154854693 | Loren Cheri Tapp | Preventive Medicine | 5664 Beaver Rd, Union, KY 41091-8133 | 2017-04-11 |
| 1790049211 | Sarah Bumgardner | Preventive Medicine | 128 Southland Dr, Lexington, KY 40503-1927 | 2012-06-28 |
| 1336435403 | Healthsure Medical Clinic Pllc | Preventive Medicine | 2406 Greatstone Pt, Lexington, KY 40504-3274 | 2011-06-27 |
| 1902195233 | Bluegrass Business Health | Preventive Medicine | 1150 Lexington Rd, Suite 104, Georgetown, KY 40324-8300 | 2011-04-07 |
| 1205147790 | Keisha Lashawn Mcfarlane | Preventive Medicine | Uk College of Public Health 111 Washington Ave, Lexington, KY 40536-2111 | 2010-06-29 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1003053117 | Kenneth Michael Farmer | Preventive Medicine | 17718 Popedale Rd, Louisville, KY 40245-4353 | 2009-01-12 |
| 1235385154 | Kathleen Harter | Preventive Medicine | 2000 Fern Valley Rd, Ford Medical, Louisville, KY 40213-3502 | 2008-08-12 |
| 1275795197 | Dorathy Lachman | Preventive Medicine | 873 Melanie Ln, Richmond, KY 40475-2784 | 2008-07-01 |
| 1922269307 | Stephanie K Pridemore | Preventive Medicine | 1618 Harrodsburg Rd, Lexington, KY 40504-3706 | 2008-06-19 |
| Find all providers with the same taxonomy | ||||
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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.