| |
100 Medical Center Dr Princeton KY 42445-2430 | |
(270) 365-0308 | |
Not Available |
Full Name | |
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Speciality | Physician Assistant |
Location | 100 Medical Center Dr, Princeton, Kentucky |
Authorized Official Name and Position | Micah Beth Conger (DIRECTOR) |
Authorized Official Contact | 2703650320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 410 Princeton KY 42445-0410 Ph: (270) 365-0320 | 100 Medical Center Dr Princeton KY 42445-2430 Ph: (270) 365-0308 |
NPI Number | 1891207460 |
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Provider Enumeration Date | 11/03/2017 |
Last Update Date | 11/08/2024 |
Medicare PECOS PAC ID | 0749275014 |
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Medicare Enrollment ID | O20171211001612 |
Identifier | Type | State | Issuer |
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1891207460 | NPI | - | NPPES |
Provider Name | Terry D Durham |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1699719534 PECOS PAC ID: 4082608807 Enrollment ID: I20040414001644 |
Provider Name | Robert Larry Wright |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1750352712 PECOS PAC ID: 3971408675 Enrollment ID: I20040601001420 |
Provider Name | Shanna Dawn Phillips |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962408336 PECOS PAC ID: 2264417658 Enrollment ID: I20040621000836 |
Provider Name | David P Bealle |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1467426841 PECOS PAC ID: 2860463866 Enrollment ID: I20040803001622 |
Provider Name | Scott R Graham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225132350 PECOS PAC ID: 5890761639 Enrollment ID: I20040902001451 |
Provider Name | Frederick G Robbe |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356307011 PECOS PAC ID: 9436125085 Enrollment ID: I20040907000179 |
Provider Name | Anthony R France |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1376506717 PECOS PAC ID: 4587632518 Enrollment ID: I20040917000929 |
Provider Name | Kimberly Covington |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1164551156 PECOS PAC ID: 4183661135 Enrollment ID: I20050413000774 |
Provider Name | Joseph D Drawdy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164471926 PECOS PAC ID: 6204849870 Enrollment ID: I20060726000379 |
Provider Name | Anna M D'amico |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1184641946 PECOS PAC ID: 0446141675 Enrollment ID: I20060906000169 |
Provider Name | Shana W Geary |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1649352899 PECOS PAC ID: 4385740638 Enrollment ID: I20070502000334 |
Provider Name | Elizabeth Scheidler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467776716 PECOS PAC ID: 2365579901 Enrollment ID: I20100612000003 |
Provider Name | David W French |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649336306 PECOS PAC ID: 1850379058 Enrollment ID: I20100909000226 |
Provider Name | Jeffrey K Jenkins |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1447564992 PECOS PAC ID: 1153445093 Enrollment ID: I20101025001035 |
Provider Name | Charles Littlejohn |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831202738 PECOS PAC ID: 3476605700 Enrollment ID: I20101213000472 |
Provider Name | Stephanie L Mundy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912212143 PECOS PAC ID: 8426247412 Enrollment ID: I20110110000875 |
Provider Name | Sanjay Bose |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1225038698 PECOS PAC ID: 1355362617 Enrollment ID: I20110422000413 |
Provider Name | Mackenzie S Guizio Crockett |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427347814 PECOS PAC ID: 8729265632 Enrollment ID: I20110601000760 |
Provider Name | John C Mobley |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1619059334 PECOS PAC ID: 6305742545 Enrollment ID: I20111230000127 |
Provider Name | Jennifer L Sutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992057889 PECOS PAC ID: 9032355326 Enrollment ID: I20130410000552 |
Provider Name | Timothy Chang |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1740256569 PECOS PAC ID: 9436378049 Enrollment ID: I20140915000168 |
Provider Name | Lorie R Wydotis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457731770 PECOS PAC ID: 5294041612 Enrollment ID: I20150831003002 |
Provider Name | Walker L Estes |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1336585777 PECOS PAC ID: 5698077840 Enrollment ID: I20161011000186 |
Provider Name | Deborah Jean Stovall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366908519 PECOS PAC ID: 2567705551 Enrollment ID: I20190514002777 |
Provider Name | Sunny Neal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447805379 PECOS PAC ID: 8325474562 Enrollment ID: I20200205003005 |
Provider Name | Melissa Jane Crayne |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386943397 PECOS PAC ID: 8426486663 Enrollment ID: I20200320002749 |
Provider Name | Megan Duvall |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1851754717 PECOS PAC ID: 6901211614 Enrollment ID: I20210210001461 |
Provider Name | Rebecca Regina Rivera |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487169074 PECOS PAC ID: 2961896972 Enrollment ID: I20220308000466 |
Provider Name | Kiona Shea Franklin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174255855 PECOS PAC ID: 5991180788 Enrollment ID: I20220914002960 |
Provider Name | Jordan M Bates |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1881253144 PECOS PAC ID: 9739558164 Enrollment ID: I20221207001316 |
Provider Name | Tonya Mcgowan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932810900 PECOS PAC ID: 7315317633 Enrollment ID: I20230103001269 |
Provider Name | Anna Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508538489 PECOS PAC ID: 6800240953 Enrollment ID: I20230925000576 |
Cash Family Practice, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Micbeth Drive, Princeton, KY 42445 Phone: 270-365-1225 Fax: 270-365-1252 | |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 W Main St, Princeton, KY 42445 Phone: 615-988-1571 | |
C. Michael Littlejohn, Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Jefferson St, Princeton, KY 42445 Phone: 270-365-3343 Fax: 270-365-4467 |