Michael R Tekulve (NPI# 1760601025, PAC ID# 2062506041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1760601025 |
| PAC ID by PECOS | 2062506041 |
| Professional Enrollment ID | I20070921000134 |
| Full Name | Michael R Tekulve |
| Organization Legal Name | KENTUCKY MSO LLC |
| Address |
370 Amsden Ave Suite 501 Versailles KY 40383-6926 |
| Phone Number | 8598792419 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0749450633 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181308 | BLUEGRASS COMMUNITY HOSPITAL |
| 180101 | GEORGETOWN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 370 Amsden Ave, Suite 501, Versailles, KY 40383-6926 | 8598792419 | KENTUCKY MSO LLC |
| Organization Legal Name | KENTUCKY MSO LLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Bond | Nurse Practitioner | Kentucky Mso LLC | 370 Amsden Ave, Suite 504, Versailles, KY 40383-6929 |
| Raymond Wechman Jr. | Family Medicine | Kentucky Mso LLC | 1502 Oxford Dr, Suite 100, Georgetown, KY 40324-8096 |
| Kent Edward Taylor | Medical Oncology | Kentucky Mso LLC | 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9362 |
| Joseph E Thomas | Cardiovascular Disease (cardiology) | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| James Robert Bailey | Gastroenterology | Kentucky Mso LLC | 1138 Lexington Rd, Suite 140, Georgetown, KY 40324-9672 |
| Henry R Preston | Family Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Leslie A Asbury | Otolaryngology | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Joel Anthony Knight | Internal Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Kelly R Burgess | Family Medicine | Kentucky Mso LLC | 1502 Oxford Dr, Suite 100, Georgetown, KY 40324-8096 |
| Andrew P Balbaugh | Internal Medicine | Kentucky Mso LLC | 1140 Lexington Rd, Georgetown, KY 40324-9330 |
| Street Address |
370 AMSDEN AVE SUITE 501 |
| City | VERSAILLES |
| State | KY |
| Zip | 40383-6926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Bond | Nurse Practitioner | Kentucky Mso LLC | 370 Amsden Ave, Suite 504, Versailles, KY 40383-6929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen D Webb | Family Medicine | 220 Frankfort St, Suite 2, Versailles, KY 40383-1079 | |
| Brandon Lucas Wood | Chiropractic | 220 Frankfort St, Suite 4, Versailles, KY 40383-1079 | |
| Richard Drayer | Optometry | Kentucky Institute for Eye Health and Surgery | 149 Frankfort St, Versailles, KY 40383-1121 |
| Robert A Forry | Chiropractic | 238 N Main St, Versailles, KY 40383-1251 | |
| Matthew S Dawson | Emergency Medicine | Southeastern Emergency Physicians LLC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Desiree F Albritton | Nurse Practitioner | Hospital Medicine Services of Tennessee PC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Joyce Ann Teague | Nurse Practitioner | Hospital Medicine Services of Tennessee PC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Louis L Seng | Internal Medicine | Hospital Medicine Services of Tennessee PC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Laura B Furnish | Nurse Practitioner | Hospital Medicine Services of Tennessee PC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Bharat K Patel | Family Medicine | Southeastern Emergency Physicians LLC | 360 Amsden Ave, Versailles, KY 40383-1286 |
| Find all physicians in zip 40383 | |||
| City | VERSAILLES |
| Zip Code | 40383 |
| Specialty | GENERAL SURGERY |
| City + Specialty | VERSAILLES + GENERAL SURGERY |
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| 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.