| Joshua Andrew Fife, DO | |
| 151 N Gardenmile Rd, Henderson, KY 42420-5543 | |
| (270) 830-9186 | |
| Not Available | 
| Full Name | Joshua Andrew Fife | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 151 N Gardenmile Rd, Henderson, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609130558 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 5522 (Georgia) | Secondary | 
| 208000000X | Pediatrics | 02005070A (Indiana) | Primary | 
| Entity Name | St Marys Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140228001338 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joshua Andrew Fife, DO 151 N Gardenmile Rd, Henderson, KY 42420-5543 Ph: () - | Joshua Andrew Fife, DO 151 N Gardenmile Rd, Henderson, KY 42420-5543 Ph: (270) 830-9186 | 
| Dr. Kelly Winston Fife, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 3rd St, Suite 180, Imperial Building, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
| Eric Douglas Ervin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 110 3rd St, Suite 180, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
| Dr. Fred L. Barnett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1997 Barrett Ct, Henderson, KY 42420 Phone: 270-826-3538 Fax: 270-827-2779 | |
| Mr. Garrett Chase Koon, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2000 N Elm St, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
| Maria C Aljabi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Starlite Dr, Henderson, KY 42420 Phone: 270-844-8027 Fax: 270-844-8183 | |
| Dr. Lesa Sue Sutton-davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 N Elm St Ste 1b, Henderson, KY 42420 Phone: 270-844-8144 Fax: 270-844-8145 | |
| Dr. Iyad A Aljabi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Klutey Park Plaza Dr, Henderson, KY 42420 Phone: 270-830-0313 Fax: 270-830-7117 |