Andrea Deserae King (NPI# 1376916361, PAC ID# 8921309618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376916361 |
| PAC ID by PECOS | 8921309618 |
| Professional Enrollment ID | I20151222002641 |
| Full Name | Andrea Deserae King |
| Organization Legal Name | ASHLAND HOSPITAL CORPORATION |
| Address |
912 Park Ave Ironton OH 45638-1596 |
| Phone Number | 7405340021 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719882521 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2245 Winchester Ave, Ashland, KY 41101-7848 | 6064062600 | ASHLAND HOSPITAL CORPORATION |
| 105 St Hwy 1947a, Grayson, KY 41143 | 6064750152 | ASHLAND HOSPITAL CORPORATION |
| 912 Park Ave, Ironton, OH 45638-1596 | 7405340021 | ASHLAND HOSPITAL CORPORATION |
| 384 County Rd 120, South Point, OH 45680-7807 | 7408942080 | ASHLAND HOSPITAL CORPORATION |
| 384 County Rd 120 So, South Point, OH 45680-7807 | 7408942080 | ASHLAND HOSPITAL CORPORATION |
| Organization Legal Name | ASHLAND HOSPITAL CORPORATION |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Thomas Faulkner | Nurse Practitioner | Ashland Hospital Corporation | 4004 Louisa Rd, Catlettsburg, KY 41129-1091 |
| Carolyn Marie Spangler | Nurse Practitioner | Ashland Hospital Corporation | 2421 Winchester Ave, Ashland, KY 41101-7835 |
| Brittany G Bond | Nurse Practitioner | Ashland Hospital Corporation | 609 N Carol Malone Blvd, Grayson, KY 41143-1123 |
| Katherine Leann Tackett | Family Medicine | Ashland Hospital Corporation | 391 W Tom T Hall Blvd, Olive Hill, KY 41164-7688 |
| Tara Nicole James | Physician Assistant | Ashland Hospital Corporation | 10650 Us Route 60, Ashland, KY 41102-9611 |
| William Shayne Bennett | Nurse Practitioner | Ashland Hospital Corporation | 1107 Bellefonte Rd, Flatwoods, KY 41139-2503 |
| Angela Michelle Nelson | Nurse Practitioner | Ashland Hospital Corporation | 105 St Hwy 1947a, Grayson, KY 41143 |
| Cherri Lynn Sewell | Nurse Practitioner | Ashland Hospital Corporation | 384 County Rd 120 So, South Point, OH 45680-7807 |
| Clayton Victor Bowman | Family Practice | Ashland Hospital Corporation | 825 E Tom T Hall Blvd, Olive Hill, KY 41164-6768 |
| Matthew Allan Hensley | Nurse Practitioner | Ashland Hospital Corporation | 2245 Winchester Ave, Ashland, KY 41101-7848 |
| Street Address |
912 PARK AVE |
| City | IRONTON |
| State | OH |
| Zip | 45638-1596 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zane A Darnell | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 912 Park Ave, Ironton, OH 45638-1596 |
| James Derrick Mills | Nurse Practitioner | Ashland Hospital Corporation | 912 Park Ave, Ironton, OH 45638-1596 |
| Haley J Bowden | Nurse Practitioner | Ashland Hospital Corporation | 912 Park Ave, Ironton, OH 45638-1596 |
| Larry Dean Carter Jr. | Nurse Practitioner | Ashland Hospital Corporation | 912 Park Ave, Ironton, OH 45638-1596 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Haney | Clinical Social Worker | 424 Lawrence St, Ironton, OH 45638-1474 | |
| Kathleen F Murray | Family Medicine | Premier Therapy and Health Centers Inc | 209 N 2nd St, Suite A, Ironton, OH 45638-1485 |
| Kristie L Johnson | Nurse Practitioner | Premier Therapy and Health Centers Inc | 209 N 2nd St, Suite A, Ironton, OH 45638-1485 |
| Donald K Lambert | Nurse Practitioner | 700 Park Ave, Ironton, OH 45638-1502 | |
| Deidra Brumfield | Chiropractic | Ironton Park Avenue Chiropractic Center, Inc | 901 Park Ave, Ironton, OH 45638-1529 |
| Jennifer Gibson | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Tiffany A Spears | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Tamela R King | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Jacqueline N Stumbo | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Tonnette D Hoffman | Nurse Practitioner | Ironton and Lawrence County Area Community Action Organization | 120 N 3rd St, Ironton, OH 45638-1574 |
| Find all physicians in zip 45638 | |||
| City | IRONTON |
| Zip Code | 45638 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | IRONTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Andrea Deserae King.
| 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.