| Advanced Center For Orthopedics & Sports Medicine | |
|
2780 Frederica St Owensboro KY 42301-5442 | |
| (270) 926-4100 | |
| (270) 648-4678 |
| Full Name | Advanced Center For Orthopedics & Sports Medicine |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 2780 Frederica St, Owensboro, Kentucky |
| Authorized Official Name and Position | Charles A Milem (PRESIDENT) |
| Authorized Official Contact | 2709264100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Center For Orthopedics & Sports Medicine 2780 Frederica St Owensboro KY 42301-5442 Ph: (270) 926-4100 | Advanced Center For Orthopedics & Sports Medicine 2780 Frederica St Owensboro KY 42301-5442 Ph: (270) 926-4100 |
| NPI Number | 1033210828 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 4587623509 |
|---|---|
| Medicare Enrollment ID | O20041006000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033210828 | NPI | - | NPPES |
| 65923062 | Medicaid | KY | |
| 7100221930 | Medicaid | KY |
| Provider Name | William R Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548263320 PECOS PAC ID: 4587620075 Enrollment ID: I20041207000186 |
| Provider Name | Glenn A Henning |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699871673 PECOS PAC ID: 6002852845 Enrollment ID: I20050701000771 |
| Provider Name | Lori J Bretschneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104813245 PECOS PAC ID: 1850325309 Enrollment ID: I20050923000255 |
| Provider Name | Tristan C Briones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386673010 PECOS PAC ID: 8426058488 Enrollment ID: I20061222000275 |
| Provider Name | Joseph L Polio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245293620 PECOS PAC ID: 9830273853 Enrollment ID: I20100111000215 |
| Provider Name | Robert Keith Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053314849 PECOS PAC ID: 3072572098 Enrollment ID: I20100628001000 |
| Provider Name | Charles A Milem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013910819 PECOS PAC ID: 9537128558 Enrollment ID: I20100628001041 |
| Provider Name | Philip B Hurley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073516878 PECOS PAC ID: 0547229569 Enrollment ID: I20100628001070 |
| Provider Name | Shafe D. Boles |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1871596379 PECOS PAC ID: 2062546484 Enrollment ID: I20100819001018 |
| Provider Name | Geoffrey L Hulse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982645511 PECOS PAC ID: 3375627391 Enrollment ID: I20100922000690 |
| Provider Name | Rachel E Wendholt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154720118 PECOS PAC ID: 9931329786 Enrollment ID: I20140930001735 |
| Provider Name | Laura Elizabeth Haga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356898258 PECOS PAC ID: 3274811310 Enrollment ID: I20161025001782 |
| Provider Name | Kaylee M Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538681846 PECOS PAC ID: 7517239213 Enrollment ID: I20171016000306 |
| Provider Name | Bryce A. Meredith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578971800 PECOS PAC ID: 1557678786 Enrollment ID: I20180810000111 |
| Provider Name | Megan Lynn Myers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013496249 PECOS PAC ID: 7618229642 Enrollment ID: I20181002003227 |
| Provider Name | Joseph Anthony Polio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437577590 PECOS PAC ID: 1153639760 Enrollment ID: I20200707002550 |
| Provider Name | Andrew Duane Branson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023620549 PECOS PAC ID: 2961828850 Enrollment ID: I20200824000755 |
| Provider Name | Christina Upleger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235744590 PECOS PAC ID: 6305264748 Enrollment ID: I20200916001652 |
| Provider Name | Troy Upleger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861007783 PECOS PAC ID: 0244659787 Enrollment ID: I20201001002058 |
| Provider Name | Katy Nicole Coin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992315139 PECOS PAC ID: 9830509538 Enrollment ID: I20201109002373 |
| Provider Name | Kiersten Ruth Kennedy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811482912 PECOS PAC ID: 1658774179 Enrollment ID: I20210721002903 |
| Provider Name | William Polio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639531346 PECOS PAC ID: 0547536005 Enrollment ID: I20220822002028 |
Toyotetsu - Owensboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Airpark Dr, Owensboro, KY 42301 Phone: 270-685-3098 Fax: 270-685-3099 | |
Jones Medical Corp Dba Bridgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Salem Drive, Owensboro, KY 42303 Phone: 270-686-8008 Fax: 270-686-8066 | |
Choice Care Associates, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Breckenridge St, Suite 400, Owensboro, KY 42303 Phone: 270-688-0900 Fax: 207-926-7488 | |
Randy L Wolfe, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Triplett St, Owensboro, KY 42303 Phone: 270-688-4325 | |
Owensboro Health Medical Group - Cardiology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-417-7500 Fax: 270-417-7509 | |
Robert C Dalzell,md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2816 Veach Rd, Owensboro, KY 42303 Phone: 270-926-2929 Fax: 270-683-3290 |