Elizabeth Taheny (NPI# 1255804209, PAC ID# 5395082044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1255804209 |
PAC ID by PECOS | 5395082044 |
Professional Enrollment ID | I20190204000791 |
Full Name | Elizabeth Taheny |
Organization Legal Name | ESTILL MEDICAL CLINIC, PSC |
Address |
275 N Court St Irvine KY 40336-1077 |
Phone Number | 6067232167 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5597845255 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
181301 | MARCUM AND WALLACE MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
275 N Court St, Irvine, KY 40336-1077 | 6067232167 | ESTILL MEDICAL CLINIC, PSC |
Organization Legal Name | ESTILL MEDICAL CLINIC, PSC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donna Ruth Isfort | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
Debra Jean Wolf | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
Street Address |
275 N COURT ST |
City | IRVINE |
State | KY |
Zip | 40336-1077 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donna Ruth Isfort | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
Debra Jean Wolf | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
Name | Specialty | Organization | Address |
---|---|---|---|
William W Wachs | Optometry | 218 Main St, Irvine, KY 40336-1026 | |
Joyce L Puckett | Nurse Practitioner | 101 River Dr, Irvine, KY 40336-1117 | |
Karyn N Mcguire | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
Herbert Long | Family Medicine | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
William David Longworth | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
Judy Ann Renfro | Nurse Practitioner | 365 River Dr, Irvine, KY 40336-1284 | |
Jason R Deskins | Family Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
Paula W Hollingsworth | Interventional Cardiology | Baptist Health Medical Group Inc | 60 Mercy Ct, Irvine, KY 40336-1331 |
William S Witt | Diagnostic Radiology | 60 Mercy Ct, Irvine, KY 40336-1331 | |
Mark W Rukavina | Emergency Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
Find all physicians in zip 40336 |
City | IRVINE |
Zip Code | 40336 |
Specialty | NURSE PRACTITIONER |
City + Specialty | IRVINE + NURSE PRACTITIONER |
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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.