TWIN LAKES MEDICAL FOUNDATION, INC. (NPI# 1952616070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952616070 |
| Entity Type | Organization |
| Organization Name | TWIN LAKES MEDICAL FOUNDATION, INC. |
| Other Organization Name | QUICKCARE |
| Practice Address |
1895 Elizabethtown Rd. Leitchfield KY 42754-9138 |
| Practice Telephone | 2702300182 |
| Practice Fax Number | 2702300014 |
| Mailing Telephone | 2702300182 |
| Mailing Fax Number | 2702300014 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | LOUETTA 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 | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100150230 | 05 | |
| KY | ANTHEM BCBS | 000000698056 | 01 |
| Other Name | Type Code |
|---|---|
| QuickCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1871821454 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2009-11-19 |
| 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 |
1895 ELIZABETHTOWN RD. |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754-9138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033401088 | Cova Teresa Stidham | Nurse Practitioner | 1895 Elizabethtown Rd., Leitchfield, KY 42754-9138 | 2011-05-10 |
| 1114234077 | Twin Lakes Medical Foundation, Inc | Clinical Nurse Specialist | 1895 Elizabethtown Rd., Leitchfield, KY 42754-9138 | 2010-09-13 |
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
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|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1861028219 | Healthstat Onsite Clinic M & M Cartage | Preventive Medicine | 6220 Geil Ln, Louisville, KY 40219-2076 | 2020-03-18 |
| 1952937302 | Healthstat Onsite Clinic Diocese | Preventive Medicine | 600 Locust St, Owensboro, KY 42301-2130 | 2020-03-18 |
| 1770119125 | Healthstat Onsite Clinic Owensboro Municipal Utilities | Preventive Medicine | 2070 Tamarack Rd, Owensboro, KY 42301-6876 | 2020-03-18 |
| 1689200032 | Healthstat Onsite Clinic Davies County Fiscal Court | Preventive Medicine | 212 Saint Ann St, Owensboro, KY 42303-4148 | 2020-03-18 |
| 1437784642 | Healthstat Onsite Clinic Crounse Corp | Preventive Medicine | 400 Marine Way, Paducah, KY 42003-1518 | 2020-03-09 |
| 1265067474 | Healthstat Onsite Clinic Big Ass Fans | Preventive Medicine | 2348 Innovation Dr, Lexington, KY 40511-8514 | 2020-03-09 |
| 1922519073 | Healthstat Onsite Clinic Hsm Owensboro | Preventive Medicine | 3225 Warehouse Rd, Owensboro, KY 42301-7918 | 2017-10-17 |
| 1063651974 | Wilson Lobe Eseme Jr. | Preventive Medicine | 4814 Preston Hwy, Louisville, KY 40213-2235 | 2009-02-17 |
| 1649301409 | Harvey M Diamond | Preventive Medicine | 3430 Newburg Rd Ste 106, Louisville, KY 40218-2497 | 2007-03-07 |
| 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.