Raul Heredia (NPI# 1366408213, PAC ID# 7315995834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1366408213 |
| PAC ID by PECOS | 7315995834 |
| Professional Enrollment ID | I20050111000429 |
| Full Name | Raul Heredia |
| Organization Legal Name | CAPITAL FAMILY PHYSICIANS PSC |
| Address |
1080 Glensboro Rd Lawrenceburg KY 40342-9033 |
| Phone Number | 5028594200 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668454323 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180127 | FRANKFORT REGIONAL MEDICAL CENTER |
| 180080 | BAPTIST HEALTH CORBIN |
| 181329 | SAINT JOSEPH BEREA |
| 180103 | BAPTIST HEALTH LEXINGTON |
| Address | Phone | Organization |
|---|---|---|
| 1 Trillium Way, Mtm/dsm, Corbin, KY 40701-8727 | 6065264647 | BAPTIST HEALTH MEDICAL GROUP INC |
| 1001 Leawood Dr A, Frankfort, KY 40601-3348 | 5022271871 | CAPITAL FAMILY PHYSICIANS PSC |
| 1001 Leawood Dr C, Frankfort, KY 40601-3348 | 5022230231 | CAPITAL FAMILY PHYSICIANS PSC |
| 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 | 5028594200 | CAPITAL FAMILY PHYSICIANS PSC |
| 4071 Tates Creek Centre Dr, Suite 100, Lexington, KY 40517-3062 | 8592733888 | BAPTIST HEALTH MEDICAL GROUP INC |
| 4071 Tates Creek Centre Dr, Suite 202, Lexington, KY 40517-3094 | 8592604390 | BAPTIST HEALTH MEDICAL GROUP INC |
| Organization Legal Name | CAPITAL FAMILY PHYSICIANS PSC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Punita Dhindsa | Family Medicine | Capital Family Physicians Psc | 4 Hmb Circle, Frankfort, KY 40601-5376 |
| Virginia M Morris | Nurse Practitioner | Capital Family Physicians Psc | 1001 Leawood Dr A, Frankfort, KY 40601-3348 |
| David W Sihau | Cardiovascular Disease (cardiology) | Capital Family Physicians Psc | 1002 Leawood Dr, Frankfort, KY 40601-3349 |
| James D Gilbert | Family Medicine | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Kenneth L Bain | Family Medicine | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Crystal S Gilbert | Nurse Practitioner | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Curtis Welling | Physician Assistant | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Gregory L Fuqua | Family Medicine | Capital Family Physicians Psc | 1001 Leawood Dr A, Frankfort, KY 40601-3348 |
| Cindy L Mccann | Physician Assistant | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Patrick M Richardson | Nurse Practitioner | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Street Address |
1080 GLENSBORO RD |
| City | LAWRENCEBURG |
| State | KY |
| Zip | 40342-9033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Gilbert | Family Medicine | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Kenneth L Bain | Family Medicine | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Crystal S Gilbert | Nurse Practitioner | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Curtis Welling | Physician Assistant | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Cindy L Mccann | Physician Assistant | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Patrick M Richardson | Nurse Practitioner | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Steven Crum | Family Medicine | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Anthony G Barnes | Family Medicine | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Thomas E Hamilton | Family Medicine | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Angela G Wilkins | Physician Assistant | Capital Family Physicians Psc | 1080 Glensboro Rd, Lawrenceburg, KY 40342-9033 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin J Bierly | Chiropractic | 236 E Woodford St, Lawrenceburg, KY 40342-1144 | |
| Patricia A Drury | Chiropractic | 103 Hawkins St, Lawrenceburg, KY 40342-1213 | |
| Darren Scott Smith | Optometry | 500 W Broadway St, Lawrenceburg, KY 40342-1306 | |
| Kenneth Earle Hines | General Practice | Lawrenceburg Clinic Medicine | 504 W Broadway St B, Lawrenceburg, KY 40342-1541 |
| Rebecca L Pangemanan | Chiropractic | Arthur Pangemanan Dc LLC | 1004 Dewey Dr, Suite C, Lawrenceburg, KY 40342-1761 |
| Suzanne Kay Neukam | Chiropractic | Arthur Pangemanan Dc LLC | 1004 Dewey Dr, Suite C, Lawrenceburg, KY 40342-1761 |
| Arthur A Pangemanan | Chiropractic | Arthur Pangemanan Dc LLC | 1004 Dewey Dr, Suite C, Lawrenceburg, KY 40342-1761 |
| Casey Krahn | Chiropractic | Lawrenceburg Family Chiropractic Pllc | 1004 Bypass S, Suite 5, Lawrenceburg, KY 40342-8033 |
| Christopher Michael Kaczmarek | Physical Therapy | Elizabethtown Physical Therapy Psc | 1055 Corporate Dr, Lawrenceburg, KY 40342-8037 |
| Matthew A Berry | Physical Therapy | Elizabethtown Physical Therapy Psc | 1055 Corporate Dr, Lawrenceburg, KY 40342-8037 |
| Find all physicians in zip 40342 | |||
| City | LAWRENCEBURG |
| Zip Code | 40342 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LAWRENCEBURG + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Raul Heredia.
| 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.