GLK ENTERPRISES, LLC (NPI# 1912912734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912912734 |
| Entity Type | Organization |
| Organization Name | GLK ENTERPRISES, LLC |
| Practice Address |
104 Mohawk Street Brownsville KY 42210 |
| Practice Telephone | 2705972155 |
| Practice Fax Number | 2705973811 |
| Mailing Telephone | 2705972155 |
| Mailing Fax Number | 2705973811 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SANJAY KAUL (MD/PRESIDENT) |
| Authorized Official Telephone | 2705972155 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
36833 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64030224 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386196350 | Glk Enterprises, LLC | Nurse Practitioner | 104 Mohawk St, Brownsville, KY 42210-9006 | 2016-10-26 |
| Street Address |
104 MOHAWK STREET |
| City | BROWNSVILLE |
| State | KY |
| Zip Code | 42210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548732092 | Courtney Nicole Fazel | Nurse Practitioner | 104 Mohawk Street, Brownsville, KY 42210 | 2018-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000366 | Edmonson Dental | Clinic/Center | 1427 Ky 259n, Brownsville, KY 42210 | 2019-06-04 |
| 1639600455 | Lauren Walton | Social Worker | 205 Mohawk Street, Brownsville, KY 42210 | 2017-03-23 |
| 1962853713 | Hines Physical Therapy, LLC | Clinic/Center | 107 E Main Cross Street, Brownsville, KY 42210 | 2016-06-23 |
| 1043511736 | Darla Lynn Moody | Massage Therapist | 135 S. Main Street, Brownsville, KY 42210 | 2010-11-11 |
| 1720266851 | Sherry R Rudnick | Nurse Practitioner | 104 Mohawks St, Brownsville, KY 42210 | 2008-01-31 |
| 1831379700 | Meredith York | Case Manager/Care Coordinator | 205 Mohawk Dr., Brownsville, KY 42210 | 2007-11-08 |
| 1740460617 | Deborah Charlene White | Case Manager/Care Coordinator | 205 Mohawk St., Brownsville, KY 42210 | 2007-11-08 |
| 1649486283 | Myra S Ray | Pharmacist | 432 South Main, Brownsville, KY 42210 | 2007-05-14 |
| 1013043470 | Acsr, Inc. | Transportation Broker | 1430 Main St S, Brownsville, KY 42210 | 2007-02-27 |
| 1770621534 | Acsr, Inc. | Clinic/Center | 1430 S. Main St., Brownsville, KY 42210 | 2007-02-02 |
| Find all providers in zip 42210 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023381381 | Integrity Medical Group, LLC | Internal Medicine | 2384 Petersburg Rd, Hebron, KY 41048-9557 | 2012-02-17 |
| 1548424385 | Katrina Ann Booth | Internal Medicine | 50 E Rivercenter Blvd Ste 434, Covington, KY 41011-1660 | 2008-07-10 |
| 1912958554 | Elizabeth A Toms | Internal Medicine | 270 Burley Ave, Hopkinsville, KY 42240-8725 | 2006-05-15 |
| 1487657268 | Subir Ghosh | Internal Medicine | 832 Hwy 15 North, Jackson, KY 41339-8601 | 2005-05-24 |
| 1992266092 | Mohamad Belal Aldaas | Internal Medicine | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-29 |
| 1700142429 | University of Louisville Research Foundation | Internal Medicine | 215 Central Ave, Suite 102, Louisville, KY 40208-1449 | 2012-04-06 |
| 1922371988 | Pattie A Clay Infirmary Assn. | Internal Medicine | 789 Eastern Byp, Suite 11, Richmond, KY 40475-2415 | 2012-02-21 |
| 1902036825 | Kentuckiana Geriatric and Palliative Services Pllc | Internal Medicine | 802 Overhill Dr, Business Office, Shepherdsville, KY 40165-7252 | 2009-07-27 |
| 1750555462 | Alliance Primary Care | Internal Medicine | 7380 Turfway Rd, Florence, KY 41042-1355 | 2008-04-15 |
| 1205023389 | Kelly Ann Church | Internal Medicine | 800 Zorn Ave, Geriatrics and Extended Care, Va Medical Center, Louisville, KY 40206-1433 | 2007-10-02 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSVILLE |
| Zip Code | 42210 |
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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.