Jack Kendrick (NPI# 1255489415, PAC ID# 1355338005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255489415 |
| PAC ID by PECOS | 1355338005 |
| Professional Enrollment ID | I20040427000023 |
| Full Name | Jack Kendrick |
| Organization Legal Name | BIG SANDY HEALTH CARE, INC |
| Address |
23 Willow Dr Auxier KY 41602-9259 |
| Phone Number | 6068868997 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951211218 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180005 | HIGHLANDS REGIONAL MEDICAL CENTER |
| 181305 | SAINT JOSEPH MARTIN |
| 180044 | PIKEVILLE MEDICAL CENTER |
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 23 Willow Dr, Auxier, KY 41602-9259 | 6068868997 | BIG SANDY HEALTH CARE, INC |
| Organization Legal Name | BIG SANDY HEALTH CARE, INC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Newsome | Nurse Practitioner | Big Sandy Health Care, Inc | 7629 Ky Route 979, Grethel, KY 41631-6304 |
| Eilene Eugenio Kinzer | Optometry | Big Sandy Health Care, Inc | 178 Douglas Pkwy, Pikeville, KY 41501-6970 |
| Paul Wilson Craig II | Family Medicine | Big Sandy Health Care, Inc | 214 Beriah Blvd, Salyersville, KY 41465-7509 |
| Lesley Ann Dotson | Family Medicine | Big Sandy Health Care, Inc | 6500 Hwy 645 110, Inez, KY 41224 |
| Sheryl L Gstalder-chaney | Podiatry | Big Sandy Health Care, Inc | 835 Pkwy Dr, Salyersville, KY 41465-9250 |
| Larry Leslie | Family Medicine | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Samantha E. Myers | Optometry | Big Sandy Health Care, Inc | 178 Douglas Pkwy, Pikeville, KY 41501-6970 |
| Sammie S Gibson | Obstetrics/gynecology | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Heather Blair | Nurse Practitioner | Big Sandy Health Care, Inc | 835 Pkwy Dr, Salyersville, KY 41465-9250 |
| Jessica L Branham | Obstetrics/gynecology | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Street Address |
23 WILLOW DR |
| City | AUXIER |
| State | KY |
| Zip | 41602-9259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Leslie | Family Medicine | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Sammie S Gibson | Obstetrics/gynecology | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Jessica L Branham | Obstetrics/gynecology | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Anita Blankenship | Clinical Social Worker | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Tonya A Gibson | Nurse Practitioner | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Joanna L Santiesteban | Obstetrics/gynecology | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Megan Tackett | Nurse Practitioner | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Cheryl Combs-walker | Clinical Social Worker | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Krissy L Marcum | Certified Nurse Midwife (cnm) | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Jason Evans | Optometry | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Marie Scott Finley | Obstetrics/gynecology | Big Sandy Health Care, Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| Gerald A Dysert | Obstetrics/gynecology | Big Sandy Health Care Inc | 23 Willow Dr, Auxier, KY 41602-9259 |
| City | AUXIER |
| Zip Code | 41602 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AUXIER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jack Kendrick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.