| Maysville Internal Medicine Pediatric Assoc Psc | |
|
2009 Old Main St Maysville KY 41056 | |
| (606) 759-7615 | |
| (606) 759-7821 |
| Full Name | Maysville Internal Medicine Pediatric Assoc Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2009 Old Main St, Maysville, Kentucky |
| Authorized Official Name and Position | Mark Allen Wallingford (PRESIDENT) |
| Authorized Official Contact | 6067597615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maysville Internal Medicine Pediatric Assoc Psc 2009 Old Main St Maysville KY 41056 Ph: (606) 759-7615 | Maysville Internal Medicine Pediatric Assoc Psc 2009 Old Main St Maysville KY 41056 Ph: (606) 759-7615 |
| NPI Number | 1841373412 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841373412 | NPI | - | NPPES |
| 65933012 | Medicaid | KY | |
| C78288 | Other | DR WALLINGFORDS UPIN | |
| 7100379280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24430 (Kentucky) | Primary |
| 208000000X | Pediatrics | (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (Kentucky) | Secondary |
Fast Pace Kentucky Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 Martin Luther King Hwy, Maysville, KY 41056 Phone: 606-375-4817 Fax: 931-722-9919 | |
Comprehend Inc Regional Mental Health- Mental Retardation Board Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Forest Ave, Maysville, KY 41056 Phone: 606-564-4016 Fax: 606-564-8288 | |
Joseph F Morris Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 W Maple Leaf Rd, Maysville, KY 41056 Phone: 606-564-4802 Fax: 606-564-3075 | |
Ohio Valley Heart, P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Kenton Station Dr, Maysville, KY 41056 Phone: 606-759-9353 Fax: 606-759-0493 | |
Ross Medical Associates Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Kenton Station Drive, Maysville, KY 41056 Phone: 606-759-9424 Fax: 606-759-9504 | |
Primaryplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 927 Kenton Station Dr, Maysville, KY 41056 Phone: 606-796-3029 Fax: 606-796-6221 | |
Lewis County Primary Care Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Kenton Station Dr, Maysville, KY 41056 Phone: 606-956-0188 |