COLORECTAL CARE OF NORTHERN KY, PLLC (NPI# 1922001833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922001833 |
| Entity Type | Organization |
| Organization Name | COLORECTAL CARE OF NORTHERN KY, PLLC |
| Practice Address |
2865 Chancellor Dr Ste 215 Crestview Hills KY 41017-3912 |
| Mailing Address |
Po Box 272 Burlington KY 41005-0272 |
| Practice Telephone | 8593419659 |
| Practice Fax Number | 8593419659 |
| Mailing Telephone | 5138912813 |
| Mailing Fax Number | 5138911039 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2009-08-11 |
| Authorized Official Name | DEAN R ADAMS (PRESIDENT) |
| Authorized Official Telephone | 8593419659 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | DD6452 | 01 |
| IN | 200927190A | 05 | |
| OH | 2948949 | 05 |
| Street Address |
2865 CHANCELLOR DR STE 215 |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346726163 | Mary Jo Schneider | Art Therapist | 2865 Chancellor Dr, Crestview Hills, KY 41017-3912 | 2018-07-15 |
| 1245770775 | Shannon Thomas | Occupational Therapist | 2865 Chancellor Dr, Crestview Hills, KY 41017-3912 | 2017-03-02 |
| 1982144663 | A Step Ahead Pediatric Therapy | Early Intervention Provider Agency | 2865 Chancellor Dr, Crestview Hills, KY 41017-3912 | 2017-03-01 |
| 1679028187 | Jennifer P Campbell | Occupational Therapy Assistant | 2865 Chancellor Dr, Crestview Hills, KY 41017-3912 | 2016-08-25 |
| 1023563665 | Michaela Martin | Physical Therapy Assistant | 2865 Chancellor Dr, Suite 105, Crestview Hills, KY 41017-3912 | 2016-08-24 |
| 1235683632 | Janet Dea Hackett | Speech-Language Pathologist | 2865 Chancellor Dr, Suite 105, Crestview Hills, KY 41017-3912 | 2016-08-15 |
| 1225426026 | Lesley Erin Carlson | Occupational Therapy Assistant | 2865 Chancellor Dr, Crestview Hills, KY 41017-3912 | 2014-12-31 |
| 1447664826 | Laurie Ann Scott | Occupational Therapist | 2865 Chancellor Dr, Ste. 105, Crestview Hills, KY 41017-3912 | 2014-06-13 |
| 1235561754 | Lauren Elizabeth Ford | Speech-Language Pathologist | 2865 Chancellor Dr, Crestview Hills, KY 41017-3912 | 2013-08-07 |
| 1841564101 | Jaclyn Zenni | Physical Therapist | 2865 Chancellor Dr, Crestview Hills, KY 41017-3912 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881988582 | Clayton Tyler Ellis | Colon & Rectal Surgery | Ulp Colorectal Surgery, 401 East Chestnut Street, #710, Louisville, KY 40202-5707 | 2011-05-31 |
| 1720387079 | Michelle C Julien | Colon & Rectal Surgery | 1000 Dupont Rd Ste A, Louisville, KY 40207-4611 | 2011-03-24 |
| 1164570867 | Sandra L. Kavalukas | Colon & Rectal Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2007-01-08 |
| 1649366196 | Louisville Colorectal Associates LLC | Colon & Rectal Surgery | 250 East Liberty Street, Suite 610, Louisville, KY 40202-1536 | 2006-10-04 |
| 1922039023 | Wayne Tuckson | Colon & Rectal Surgery | 3920 Dutchmans Ln Ste 315, Louisville, KY 40207-4702 | 2006-07-06 |
| 1750382677 | Colorectal Surgical & Gastroenterology Associates Psc | Colon & Rectal Surgery | 2620 Wilhite Drive, Lexington, KY 40503-3385 | 2005-08-02 |
| 1891790697 | Bruce M Belin | Colon & Rectal Surgery | 2620 Wilhite Dr, Lexington, KY 40503-3385 | 2005-06-17 |
| 1225470479 | Gabie K Ong | Colon & Rectal Surgery | 613 23rd St Ste 320, Ashland, KY 41101-2877 | 2013-07-29 |
| 1568732097 | University of Louisville Physicians, Inc. | Colon & Rectal Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2011-12-30 |
| 1205034154 | Raymond E. Pierce,jr.,m.d.,p.s.c. | Colon & Rectal Surgery | 3950 Kresge Way, Suite 201, Louisville, KY 40207-4637 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.