Robert M Gevedon (NPI# 1275562746, PAC ID# 6709773088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1275562746 |
| PAC ID by PECOS | 6709773088 |
| Professional Enrollment ID | I20040302000315 |
| Full Name | Robert M Gevedon |
| Organization Legal Name | BUC INDEPENDENCE LLC |
| Address |
2025 Declaration Dr Independence KY 41051-7983 |
| Phone Number | 8593717900 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1992 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3779884747 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2025 Declaration Dr, Independence, KY 41051-7983 | 8593717900 | BUC INDEPENDENCE LLC |
| 625 Chestnut Dr, Suite 106, Walton, KY 41094-7845 | 8594857900 | BLUEGRASS URGENT CARE LLC |
| Organization Legal Name | BUC INDEPENDENCE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin J Mangan Iii | Family Medicine | Buc Independence LLC | 2025 Declaration Dr, Independence, KY 41051-7983 |
| Randy K Sanzere | Physician Assistant | Buc Independence LLC | 2025 Declaration Dr, Independence, KY 41051-7983 |
| Street Address |
2025 DECLARATION DR |
| City | INDEPENDENCE |
| State | KY |
| Zip | 41051-7983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin J Mangan Iii | Family Medicine | Buc Independence LLC | 2025 Declaration Dr, Independence, KY 41051-7983 |
| Randy K Sanzere | Physician Assistant | Buc Independence LLC | 2025 Declaration Dr, Independence, KY 41051-7983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean D Skinner | Chiropractic | 1922 Walton Nicholson, Independence, KY 41051 | |
| Gabriel Ymalay | Internal Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Tasheena Slone | Family Medicine | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Sherri K Jackson | Nurse Practitioner | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Christina Lynn Lewis | Nurse Practitioner | Summit Medical Group, Inc. | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Steve Brook | Family Practice | Summit Medical Group Inc | 135 Courthouse Xing, Independence, KY 41051-2509 |
| Dierdra K Robison | Chiropractic | 2144 Declaration Dr, Independence, KY 41051-7034 | |
| John F Allnutt | Family Medicine | 5290 Madison Pike, Suite 100, Independence, KY 41051-8025 | |
| Thomas Anthony Ernst | Physical Therapy | Oxford Physical Therapy and Rehabilitation | 1814 Declaration Dr, Independence, KY 41051-8196 |
| Craig S Pennell | Optometry | 1824 Declaration Dr, Independence, KY 41051-8196 | |
| Find all physicians in zip 41051 | |||
| City | INDEPENDENCE |
| Zip Code | 41051 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | INDEPENDENCE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Robert M Gevedon.
| 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.