COMMONWEALTH SPECIALISTS OF KENTUCKY, LLC (NPI# 1972770170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972770170 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH SPECIALISTS OF KENTUCKY, LLC |
| Practice Address |
299 Kings Daughters Dr Frankfort KY 40601-6514 |
| Mailing Address |
299 Kings Daughters Dr Suite 108 Frankfort KY 40601-6514 |
| Practice Telephone | 5022267530 |
| Practice Fax Number | 5022267936 |
| Mailing Telephone | 5022267930 |
| Mailing Fax Number | 5022267936 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | WILLIAM T. JOHNSON (VP) |
| Authorized Official Telephone | 8042377760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 609106 | 01 |
| RR MEDICARE | P00724142 | 01 | |
| KY | 64136732 | 05 |
| Street Address |
299 KINGS DAUGHTERS DR |
| City | FRANKFORT |
| State | KY |
| Zip Code | 40601-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793659 | Radiology Associates of Frankfort, Psc | Radiology | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2005-07-14 |
| 1982231353 | Dustin Hughes | Pharmacist | 299 Kings Daughters Dr, Frankfort, KY 40601-4186 | 2020-03-25 |
| 1588294540 | John Robert Gilfether | Pharmacist | 299 Kings Daughters Dr, Frankfort, KY 40601-4186 | 2020-01-17 |
| 1245738087 | Brandon R Cook I | Nurse Anesthetist, Certified Registered | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2018-01-26 |
| 1508375528 | Robert L Kipp Jr. | Nurse Anesthetist, Certified Registered | 299 Kings Daughters Dr, Frankfort, KY 40601 | 2017-09-21 |
| 1386187284 | Rachael Leneweaver | Nurse Practitioner | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2016-11-23 |
| 1508309808 | Donnya Gayle Shryock | Nurse Practitioner | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2016-11-18 |
| 1801243126 | Frankfort Hospital, Inc. | Internal Medicine | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2016-05-17 |
| 1154794980 | Castle Emergency Physicians, LLC | Physician Assistant | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2015-11-02 |
| 1407228356 | Harvest Moon Emergency Physicians, LLC | Physician Assistant | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2015-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568082410 | David Health Solutions | Nurse Practitioner | 796 Ninevah Rd, Frankfort, KY 40601 | 2020-04-21 |
| 1013549146 | Shawna Wallen | Pharmacist | 300 Brighton Park Blvd, Frankfort, KY 40601 | 2020-02-06 |
| 1629609417 | Suzannah Cartinhour Shouse | Pharmacist | 300 Brighton Park Blvd., Frankfort, KY 40601 | 2020-01-30 |
| 1942848460 | Prana Wellness | Occupational Therapist | 220 Conway Street, Frankfort, KY 40601 | 2019-12-16 |
| 1194288910 | Katherine Bates | Art Therapist | 2225 Lawrenceburg Road, Building A Suite 1, Frankfort, KY 40601 | 2019-04-09 |
| 1912476862 | Jennifer Suzann Robinson | Health Educator | 851 East-west Connector, Frankfort, KY 40601 | 2018-11-21 |
| 1649758541 | Parker Reynolds | Physical Therapist | 111 Westridge Drive, Suite E-f, Frankfort, KY 40601 | 2018-08-02 |
| 1376034397 | Bethany Ann Burton | Dentist | 1006 Leawood Dr Ste 200, Frankfort, KY 40601 | 2018-05-24 |
| 1174046106 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1303 Us Highway 127 S Ste 106, Frankfort, KY 40601 | 2017-07-21 |
| 1619498136 | Linda Carol Langley | Physical Therapist | 108 Diagnostic Dr., Suite C, Frankfort, KY 40601 | 2017-07-06 |
| Find all providers in zip 40601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437599511 | Joseph Edward Kelley | Surgery | 10835 Cardinal Lake Dr, Frankfort, IL 60423-2270 | 2013-07-03 |
| 1508085770 | Olney Mccoy Patrick | Surgery | 515 Leawood Drive, Frankfort, KY 40601 | 2007-04-25 |
| 1811918576 | Conrad J Urban, Md, Sc | Surgery | 567 Aberdeen Rd, Frankfort, IL 60423-7784 | 2006-07-21 |
| 1043265069 | Bryan A. Shouse | Surgery | 1 Physicians Park, Frankfort, KY 40601-4107 | 2006-05-24 |
| 1255304192 | Michael Anthony Harkabus | Surgery | Capital Surgical Clinic, One Physicians Park, Frankfort, KY 40601-4107 | 2006-02-10 |
| 1407072309 | Conrad J Urban | Surgery | 567 Aberdeen Rd, Frankfort, IL 60423-7784 | 2007-04-18 |
| 1790810992 | Jason Timothy Bowling | Surgery | 1 Physicians Park, Frankfort, KY 40601-4192 | 2007-02-21 |
| 1700951597 | Nabil Aref Yamout | Surgery | 222 Colorado Avenue, Frankfort, IL 60423-1334 | 2006-11-21 |
| 1992735997 | Francisco Leon Deguia | Surgery | 801 Main St, Frankfort, MI 49635-2246 | 2006-07-04 |
| 1487693180 | Willis P. Mckee | Surgery | 1 Physicians Park, Frankfort, KY 40601-4107 | 2006-06-06 |
| Find all providers in FRANKFORT | ||||
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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.