| New Age Vitality Clinic Llc | |
|
327 Broadway St Paintsville KY 41240-1348 | |
| (606) 789-8531 | |
| (606) 789-8893 |
| Full Name | New Age Vitality Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 327 Broadway St, Paintsville, Kentucky |
| Authorized Official Name and Position | Kristy Wireman (OWNER) |
| Authorized Official Contact | 6067898531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Age Vitality Clinic Llc 327 Broadway St Paintsville KY 41240-1348 Ph: (606) 789-8531 | New Age Vitality Clinic Llc 327 Broadway St Paintsville KY 41240-1348 Ph: (606) 789-8531 |
| NPI Number | 1700251626 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 03/08/2016 |
| Medicare PECOS PAC ID | 3476858606 |
|---|---|
| Medicare Enrollment ID | O20160225000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700251626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wynetta J Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720070048 PECOS PAC ID: 3971416421 Enrollment ID: I20031111000010 |
| Provider Name | Jeffery S Potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851313266 PECOS PAC ID: 1355247057 Enrollment ID: I20031212000009 |
| Provider Name | Andrew M Mutiso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699750059 PECOS PAC ID: 9537150446 Enrollment ID: I20040520000070 |
| Provider Name | Richard A Lingreen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1497714851 PECOS PAC ID: 2860446424 Enrollment ID: I20050307000228 |
| Provider Name | Ashwini Anand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811993280 PECOS PAC ID: 0345144218 Enrollment ID: I20051205000081 |
| Provider Name | Toby R England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548211410 PECOS PAC ID: 7810919719 Enrollment ID: I20051220000400 |
| Provider Name | Danny W Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477716660 PECOS PAC ID: 3375604242 Enrollment ID: I20081210000577 |
| Provider Name | Tiffany Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487938809 PECOS PAC ID: 0244404242 Enrollment ID: I20111130000511 |
| Provider Name | Craig C Cartia |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1578566766 PECOS PAC ID: 6709868540 Enrollment ID: I20120725000878 |
| Provider Name | Macon S Bradley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851521744 PECOS PAC ID: 5395979256 Enrollment ID: I20131008000808 |
| Provider Name | Linda Mcclain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891789905 PECOS PAC ID: 2163450552 Enrollment ID: I20131209001508 |
| Provider Name | Sarah E Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013368448 PECOS PAC ID: 9931495116 Enrollment ID: I20160914002408 |
| Provider Name | Cheryl Mcclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316965700 PECOS PAC ID: 9133026594 Enrollment ID: I20161006001577 |
| Provider Name | Faris Azzouni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619110608 PECOS PAC ID: 9739345422 Enrollment ID: I20170127000219 |
| Provider Name | Patricia Murphy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750381091 PECOS PAC ID: 8123015013 Enrollment ID: I20170510002663 |
| Provider Name | Sarah Kathleen Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699299677 PECOS PAC ID: 9335413822 Enrollment ID: I20170921003310 |
| Provider Name | Joseph Lee Frensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164997573 PECOS PAC ID: 0345593133 Enrollment ID: I20181024001939 |
| Provider Name | Adam N Peddicort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629433024 PECOS PAC ID: 6002119153 Enrollment ID: I20210218002794 |
Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Fm Stafford Ave, Paintsville, KY 41240 Phone: 606-789-2424 Fax: 606-789-2492 | |
Luminosity Integrated Rejuvenation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Depot Road, Paintsville, KY 41240 Phone: 606-793-5077 | |
Kings Daughters Medical Center Collins Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 N Mayo Trl, Paintsville, KY 41240 Phone: 606-789-8666 Fax: 606-789-5913 | |
Scott B. Arnett M.d., Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 West St, Suite 1, Paintsville, KY 41240 Phone: 606-789-5979 Fax: 606-788-0387 | |
Belhasen Family Care Center Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 838 S Mayo Tr, Paintsville, KY 41240 Phone: 606-789-8749 Fax: 606-789-6407 | |
Homeplace Clinic Paintsville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 S Mayo Trl, Paintsville, KY 41240 Phone: 606-789-3518 Fax: 606-789-3530 | |
Arh Wound Healing Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Church St, Paintsville, KY 41240 Phone: 606-788-9100 |