| Extended Care Health Professionals, Pllc | |
|
3903 Vantage Pl Louisville KY 40299-6801 | |
| (502) 356-4377 | |
| (888) 959-2460 |
| Full Name | Extended Care Health Professionals, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3903 Vantage Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Kim Cashion (APRN) |
| Authorized Official Contact | 5023967176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Care Health Professionals, Pllc 3903 Vantage Pl Louisville KY 40299-6801 Ph: (502) 356-4377 | Extended Care Health Professionals, Pllc 3903 Vantage Pl Louisville KY 40299-6801 Ph: (502) 356-4377 |
| NPI Number | 1760563266 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 02/05/2018 |
| Medicare PECOS PAC ID | 8022024371 |
|---|---|
| Medicare Enrollment ID | O20060224000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760563266 | NPI | - | NPPES |
| 78904836 | Medicaid | KY |
| Provider Name | Suresh Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629002787 PECOS PAC ID: 0749185288 Enrollment ID: I20031205000762 |
| Provider Name | Rinkoo Aggarwal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619971462 PECOS PAC ID: 2264328988 Enrollment ID: I20040227000357 |
| Provider Name | Pamela A Alvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407850142 PECOS PAC ID: 2466422662 Enrollment ID: I20040727000391 |
| Provider Name | Kimberly Christine Cashion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396749156 PECOS PAC ID: 3577527308 Enrollment ID: I20041112000108 |
| Provider Name | Rahul K Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558377788 PECOS PAC ID: 9537166046 Enrollment ID: I20061025000735 |
| Provider Name | Omari Chubinidze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669524096 PECOS PAC ID: 5698874535 Enrollment ID: I20070619000231 |
| Provider Name | Angela Hocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316225204 PECOS PAC ID: 5294904819 Enrollment ID: I20110816000200 |
| Provider Name | Terry L Cable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508120502 PECOS PAC ID: 6800042201 Enrollment ID: I20120816000701 |
| Provider Name | Amie Elisabeth Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528492998 PECOS PAC ID: 4486889946 Enrollment ID: I20131108001612 |
| Provider Name | Gina L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174912406 PECOS PAC ID: 0446576326 Enrollment ID: I20150312000921 |
| Provider Name | Teresa Lynn Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255712345 PECOS PAC ID: 5294048666 Enrollment ID: I20150715000640 |
| Provider Name | Kelsey Rae Gerughty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912380296 PECOS PAC ID: 9830404466 Enrollment ID: I20150811006074 |
| Provider Name | Carrie Y King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912247644 PECOS PAC ID: 9931339892 Enrollment ID: I20150821012940 |
| Provider Name | Michelle Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053793406 PECOS PAC ID: 5991013773 Enrollment ID: I20150928001708 |
| Provider Name | Kristin Michelle Farnsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304167 PECOS PAC ID: 9638487309 Enrollment ID: I20150929002109 |
| Provider Name | Felissa Patterson Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487030474 PECOS PAC ID: 3678881927 Enrollment ID: I20151006001908 |
| Provider Name | Wendi L Whitworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356719017 PECOS PAC ID: 8325341324 Enrollment ID: I20160126000819 |
| Provider Name | Melissa Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740648500 PECOS PAC ID: 6002106028 Enrollment ID: I20160603001028 |
| Provider Name | Alan B Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487745485 PECOS PAC ID: 4688627987 Enrollment ID: I20160719001528 |
| Provider Name | Brandy Trader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255781050 PECOS PAC ID: 1254626963 Enrollment ID: I20160819001096 |
| Provider Name | Erica L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982157046 PECOS PAC ID: 7315234838 Enrollment ID: I20160928000257 |
| Provider Name | Diane K Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285185546 PECOS PAC ID: 3779863352 Enrollment ID: I20170628001404 |
| Provider Name | Cheryl Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730698341 PECOS PAC ID: 1456608785 Enrollment ID: I20180718001670 |
| Provider Name | Meredith Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366777351 PECOS PAC ID: 0244490399 Enrollment ID: I20180806002531 |
| Provider Name | Tammy Ireen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157057 PECOS PAC ID: 8820331853 Enrollment ID: I20190515000946 |
| Provider Name | Samantha Claybern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639729312 PECOS PAC ID: 9436578945 Enrollment ID: I20201002001298 |
| Provider Name | Susanna Nicole Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831783844 PECOS PAC ID: 4284042060 Enrollment ID: I20210415000874 |
| Provider Name | Pamela Nicole Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023618535 PECOS PAC ID: 8123436839 Enrollment ID: I20210419001556 |
| Provider Name | Lindsey Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417601451 PECOS PAC ID: 6709271232 Enrollment ID: I20220321001484 |
| Provider Name | Julie Ann Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871249870 PECOS PAC ID: 4688061724 Enrollment ID: I20220420001147 |
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