| Jennie Stuart Medical Center Inc | |
|
320 W 18th St Hopkinsville KY 42240-1965 | |
| (270) 887-0100 | |
| (270) 887-9266 |
| Full Name | Jennie Stuart Medical Center Inc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 320 W 18th St, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Eric Alan Lee (PRESIDENT / CEO) |
| Authorized Official Contact | 2708870100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Stuart Medical Center Inc Po Box 2400 320 W 18th St Hopkinsville KY 42241-2400 Ph: (270) 887-0100 | Jennie Stuart Medical Center Inc 320 W 18th St Hopkinsville KY 42240-1965 Ph: (270) 887-0100 |
| NPI Number | 1235139312 |
|---|---|
| Provider Enumeration Date | 07/29/2005 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Medicare PECOS PAC ID | 4183607252 |
|---|---|
| Medicare Enrollment ID | O20040609001506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235139312 | NPI | - | NPPES |
| 1066495 | Medicaid | KY | |
| 01010859 | Medicaid | KY | |
| 000000212362 | Other | KY | BLUE CROSS PHYSICIAN |
| 7100104890 | Medicaid | KY | |
| 78903788 | Medicaid | KY | |
| 039724400 | Other | KY | KENTUCKY BLACK LUNG |
| 65939332 | Medicaid | KY | |
| 000000054549 | Other | KY | BLUE CROSS PROVIDER |
| 6593432500 | Medicaid | KY | |
| 65941742 | Medicaid | KY | |
| 163067200 | Other | KY | US DEPT OF LABOR |
| Provider Name | Deepak Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609969369 PECOS PAC ID: 5496650517 Enrollment ID: I20031203000145 |
| Provider Name | Shannon Elizabeth Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760478721 PECOS PAC ID: 5395641021 Enrollment ID: I20031211000827 |
| Provider Name | Mark R Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730175910 PECOS PAC ID: 5092629089 Enrollment ID: I20031211000932 |
| Provider Name | Jamie B Cary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790732246 PECOS PAC ID: 2163315516 Enrollment ID: I20040207000425 |
| Provider Name | Ramesh V Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396744033 PECOS PAC ID: 1557254943 Enrollment ID: I20040209000197 |
| Provider Name | Linda M Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144229998 PECOS PAC ID: 4082508478 Enrollment ID: I20040209000212 |
| Provider Name | Paresh V Sheth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669479911 PECOS PAC ID: 5991796393 Enrollment ID: I20040601000032 |
| Provider Name | Markena L Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205892395 PECOS PAC ID: 1254301450 Enrollment ID: I20040727000412 |
| Provider Name | David P Bealle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467426841 PECOS PAC ID: 2860463866 Enrollment ID: I20040803001622 |
| Provider Name | Gary G Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740282714 PECOS PAC ID: 6709850571 Enrollment ID: I20040826000065 |
| Provider Name | Frederick G Robbe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356307011 PECOS PAC ID: 9436125085 Enrollment ID: I20040907000179 |
| Provider Name | Melodie A Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497712319 PECOS PAC ID: 9335117357 Enrollment ID: I20040917000907 |
| Provider Name | James Harold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851355739 PECOS PAC ID: 2668440694 Enrollment ID: I20040917000950 |
| Provider Name | Michael Keith Toms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710939558 PECOS PAC ID: 5597702779 Enrollment ID: I20050408000928 |
| Provider Name | Jeffrey K Riggs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962473538 PECOS PAC ID: 7315975562 Enrollment ID: I20050729000545 |
| Provider Name | Alison Paige Mullins-couch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467408617 PECOS PAC ID: 3779516521 Enrollment ID: I20050913000916 |
| Provider Name | Leesa L Segler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215993878 PECOS PAC ID: 4688609035 Enrollment ID: I20051004000971 |
| Provider Name | Shea A Godwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538257910 PECOS PAC ID: 6406957554 Enrollment ID: I20070719000625 |
| Provider Name | Gerame T Wells |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851436646 PECOS PAC ID: 1456452218 Enrollment ID: I20070725000366 |
| Provider Name | Matthew S Robinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659406932 PECOS PAC ID: 7810098670 Enrollment ID: I20070725000438 |
| Provider Name | Pankajkumar C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043412356 PECOS PAC ID: 7214021161 Enrollment ID: I20070922000002 |
| Provider Name | Venkateswara Velaga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740246289 PECOS PAC ID: 4183704265 Enrollment ID: I20081003000736 |
| Provider Name | Harshul Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427213842 PECOS PAC ID: 0941378350 Enrollment ID: I20081010000696 |
| Provider Name | Robert H Lewe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649387226 PECOS PAC ID: 8022093541 Enrollment ID: I20081231000038 |
| Provider Name | Prakash N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902803513 PECOS PAC ID: 0446230650 Enrollment ID: I20090122000166 |
| Provider Name | Pamela A Ison-glover |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467458141 PECOS PAC ID: 7315934676 Enrollment ID: I20090209000618 |
| Provider Name | Christian M Kranz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003052143 PECOS PAC ID: 6002971926 Enrollment ID: I20090210000193 |
| Provider Name | Joseph T Fuqua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013916931 PECOS PAC ID: 7810053717 Enrollment ID: I20090302000122 |
| Provider Name | Frank T Schwender |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1700098290 PECOS PAC ID: 0840391496 Enrollment ID: I20090508000117 |
| Provider Name | Parth H Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558596742 PECOS PAC ID: 2860543733 Enrollment ID: I20090706000635 |
| Provider Name | Matthew David Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790929248 PECOS PAC ID: 8123212115 Enrollment ID: I20101103001120 |
| Provider Name | Hope B Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043277098 PECOS PAC ID: 3678769015 Enrollment ID: I20101124000006 |
| Provider Name | Daniel Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376507178 PECOS PAC ID: 0446395628 Enrollment ID: I20110720000272 |
| Provider Name | Misty Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134437098 PECOS PAC ID: 8628237419 Enrollment ID: I20120314000660 |
| Provider Name | Ian S Sink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588820609 PECOS PAC ID: 3678734837 Enrollment ID: I20120416000084 |
| Provider Name | Stefanie K Lacy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427329523 PECOS PAC ID: 7416111992 Enrollment ID: I20120613000347 |
| Provider Name | Jan Hopson Floyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326070699 PECOS PAC ID: 5799731717 Enrollment ID: I20130403000498 |
| Provider Name | Tracey Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033463880 PECOS PAC ID: 6204072002 Enrollment ID: I20130424000376 |
| Provider Name | Mollie S Pitura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831528769 PECOS PAC ID: 1153558572 Enrollment ID: I20131210001919 |
| Provider Name | David Wanjohi Kabithe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790775914 PECOS PAC ID: 0840323341 Enrollment ID: I20140603000680 |
| Provider Name | Timothy Chang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740256569 PECOS PAC ID: 9436378049 Enrollment ID: I20140915000168 |
| Provider Name | Sandra W Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932509270 PECOS PAC ID: 7911126156 Enrollment ID: I20140919001354 |
| Provider Name | Patricia A Blewett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811993967 PECOS PAC ID: 8527288430 Enrollment ID: I20140926002101 |
| Provider Name | Tanner Jackson Parrent |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417240029 PECOS PAC ID: 5092021279 Enrollment ID: I20150902002247 |
| Provider Name | Jerome Edward Budhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407111974 PECOS PAC ID: 9032425244 Enrollment ID: I20150902003206 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20150929002016 |
| Provider Name | Kymlyn Jane Williams-budhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467717751 PECOS PAC ID: 9739497264 Enrollment ID: I20151002002367 |
| Provider Name | Stephanie Diane Geraci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770954745 PECOS PAC ID: 5395046254 Enrollment ID: I20151217001929 |
| Provider Name | Susan Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467817882 PECOS PAC ID: 6204130644 Enrollment ID: I20160205000831 |
| Provider Name | Margaret Claire Norsworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114301801 PECOS PAC ID: 4284936840 Enrollment ID: I20160223001541 |
| Provider Name | Tarek Toubia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992017115 PECOS PAC ID: 4688891872 Enrollment ID: I20160718001719 |
| Provider Name | Carol Grigsby Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346323227 PECOS PAC ID: 7315230331 Enrollment ID: I20160727002324 |
| Provider Name | Hope R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922482587 PECOS PAC ID: 7315234382 Enrollment ID: I20161011001601 |
| Provider Name | Jonathan P Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386009363 PECOS PAC ID: 9234434937 Enrollment ID: I20161103001531 |
| Provider Name | Matthew Stine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356885198 PECOS PAC ID: 7911289954 Enrollment ID: I20170126001320 |
| Provider Name | Lauren B Bruns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043669948 PECOS PAC ID: 9335422021 Enrollment ID: I20170202001867 |
| Provider Name | Andrew J Ebelhar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164782306 PECOS PAC ID: 5496064461 Enrollment ID: I20170921002233 |
| Provider Name | Michael F Demeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205121423 PECOS PAC ID: 9739307687 Enrollment ID: I20171025003320 |
| Provider Name | Dennis Dale Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598278087 PECOS PAC ID: 0143589598 Enrollment ID: I20180111000218 |
| Provider Name | Michael H Mcghee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750358552 PECOS PAC ID: 8022062546 Enrollment ID: I20180625000496 |
| Provider Name | Mark Owusu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083009930 PECOS PAC ID: 1052617305 Enrollment ID: I20181025001812 |
| Provider Name | Melinda Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194292649 PECOS PAC ID: 3072858190 Enrollment ID: I20181218003032 |
| Provider Name | Leslie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265901649 PECOS PAC ID: 9335484922 Enrollment ID: I20181231001939 |
| Provider Name | Shannon Leigh Spain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205306131 PECOS PAC ID: 7113268368 Enrollment ID: I20190416001904 |
| Provider Name | Rebecca L Blair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659503472 PECOS PAC ID: 8123165115 Enrollment ID: I20190523000208 |
| Provider Name | Nikki L Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104875459 PECOS PAC ID: 2567475957 Enrollment ID: I20190808004152 |
| Provider Name | Jonathan Lawrence Abbott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730455775 PECOS PAC ID: 8123242633 Enrollment ID: I20190826002517 |
| Provider Name | Prasannalaxmi Palabindela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992156152 PECOS PAC ID: 9436444288 Enrollment ID: I20191001002510 |
| Provider Name | John L Gunthrie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245286459 PECOS PAC ID: 6709869324 Enrollment ID: I20191101001510 |
| Provider Name | Jessica Bridgforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497305262 PECOS PAC ID: 0345675435 Enrollment ID: I20200117001926 |
| Provider Name | Sean Christopher Mullins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518493840 PECOS PAC ID: 0446672034 Enrollment ID: I20200629001568 |
| Provider Name | Jaise Poulose |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497872675 PECOS PAC ID: 6002916723 Enrollment ID: I20200710002790 |
| Provider Name | Anu Paul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346575768 PECOS PAC ID: 9638392780 Enrollment ID: I20200713000747 |
| Provider Name | Michelle Smith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871567578 PECOS PAC ID: 3779511480 Enrollment ID: I20200923000995 |
| Provider Name | Jennifer Nicole Estes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639726540 PECOS PAC ID: 6002226693 Enrollment ID: I20201111000222 |
| Provider Name | James Gates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114257391 PECOS PAC ID: 0648307066 Enrollment ID: I20210112001811 |
| Provider Name | John Quincy Schisler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942612536 PECOS PAC ID: 0446505440 Enrollment ID: I20210208000793 |
| Provider Name | Shawniqua Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619297082 PECOS PAC ID: 3173772860 Enrollment ID: I20210331001310 |
| Provider Name | Bassel Abou-khalil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568546679 PECOS PAC ID: 0446307664 Enrollment ID: I20210331001792 |
| Provider Name | Lisa M Breece |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316192420 PECOS PAC ID: 7719394865 Enrollment ID: I20210407002735 |
| Provider Name | Randip Singh Taneja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336376490 PECOS PAC ID: 7719236454 Enrollment ID: I20210415002512 |
| Provider Name | Kevin Haas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962599084 PECOS PAC ID: 7012981574 Enrollment ID: I20210512002782 |
| Provider Name | Lauren Aprn Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972197101 PECOS PAC ID: 0648670711 Enrollment ID: I20210610001982 |
| Provider Name | Michelle Filomena Grise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811529118 PECOS PAC ID: 5395174429 Enrollment ID: I20210712003671 |
| Provider Name | Joshua Horton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992153076 PECOS PAC ID: 0446534218 Enrollment ID: I20210715003107 |
| Provider Name | Alexander E Lanigan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992125066 PECOS PAC ID: 9335465335 Enrollment ID: I20210716002181 |
| Provider Name | Frank Bonpietro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861835670 PECOS PAC ID: 7618241548 Enrollment ID: I20210716002380 |
| Provider Name | Vemana Jampala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538509385 PECOS PAC ID: 4587950274 Enrollment ID: I20210802003495 |
| Provider Name | George C May |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073561114 PECOS PAC ID: 6709835457 Enrollment ID: I20210805003499 |
| Provider Name | Leighann Lockwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720685910 PECOS PAC ID: 4789097478 Enrollment ID: I20211008002344 |
| Provider Name | Elizabeth Hague Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013290394 PECOS PAC ID: 4284807884 Enrollment ID: I20211011002320 |
| Provider Name | Candice Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376125617 PECOS PAC ID: 7810399797 Enrollment ID: I20211101002405 |
| Provider Name | Yve Nichole Dollison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770255879 PECOS PAC ID: 3577951037 Enrollment ID: I20211102002659 |
| Provider Name | Sarah Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366015380 PECOS PAC ID: 6709276959 Enrollment ID: I20211202002352 |
| Provider Name | Abbey Lee Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194315606 PECOS PAC ID: 0042601148 Enrollment ID: I20211228001630 |
| Provider Name | Kaile Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700543360 PECOS PAC ID: 7214328202 Enrollment ID: I20211230000680 |
| Provider Name | Rita Denise Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225563240 PECOS PAC ID: 9638561590 Enrollment ID: I20220126002518 |
| Provider Name | Kemens Desruisseaux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780217125 PECOS PAC ID: 7618390238 Enrollment ID: I20220225001060 |
| Provider Name | Christie Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689622722 PECOS PAC ID: 1355375049 Enrollment ID: I20220413001694 |
| Provider Name | Natalie Wangrycht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851052096 PECOS PAC ID: 2860889078 Enrollment ID: I20220418001457 |
| Provider Name | Morris D Mcmurray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477147429 PECOS PAC ID: 5193131076 Enrollment ID: I20220517002591 |
| Provider Name | Lashanda Ida Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316525959 PECOS PAC ID: 4486059078 Enrollment ID: I20220611000115 |
| Provider Name | Rachael Denise Belford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720658800 PECOS PAC ID: 7315337508 Enrollment ID: I20220621002455 |
| Provider Name | Landon Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194171272 PECOS PAC ID: 7517362478 Enrollment ID: I20220826001971 |
| Provider Name | Mehreen Sheikh Hall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699136341 PECOS PAC ID: 6103243522 Enrollment ID: I20220901001110 |
| Provider Name | Christian Nicole Shaw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124532627 PECOS PAC ID: 8426434093 Enrollment ID: I20221005001047 |
| Provider Name | Derek Evan Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922728849 PECOS PAC ID: 7719363324 Enrollment ID: I20221005002891 |
| Provider Name | Julie S P'pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114281656 PECOS PAC ID: 9335525831 Enrollment ID: I20221006002863 |
| Provider Name | Christopher E Guess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447220512 PECOS PAC ID: 0446276620 Enrollment ID: I20221021000291 |
| Provider Name | Kris Houser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992798284 PECOS PAC ID: 2466482641 Enrollment ID: I20221028001582 |
| Provider Name | Lauren Kyle Eaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629792312 PECOS PAC ID: 8123495231 Enrollment ID: I20221102002044 |
| Provider Name | Michael Shane Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679292866 PECOS PAC ID: 6305213976 Enrollment ID: I20221110002536 |
| Provider Name | Morgan Haley Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578154944 PECOS PAC ID: 6507234655 Enrollment ID: I20221121001075 |
| Provider Name | Ronald Awtry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629595079 PECOS PAC ID: 6103183553 Enrollment ID: I20221206001329 |
| Provider Name | Marshall Brandon Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679299861 PECOS PAC ID: 0749659456 Enrollment ID: I20221219002145 |
| Provider Name | Lauren Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528779501 PECOS PAC ID: 5193195014 Enrollment ID: I20230110001094 |
| Provider Name | Mackenzie Denton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275159337 PECOS PAC ID: 6608299920 Enrollment ID: I20230306001669 |
| Provider Name | Bryson Mckinsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851992523 PECOS PAC ID: 9931516945 Enrollment ID: I20230322002205 |
| Provider Name | Steven Mark Sobol |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598722712 PECOS PAC ID: 9032195425 Enrollment ID: I20230605001702 |
| Provider Name | Mary Elissa Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427722602 PECOS PAC ID: 9032576830 Enrollment ID: I20230609002320 |
| Provider Name | Jody Lee Kuhnle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457635831 PECOS PAC ID: 6305205295 Enrollment ID: I20230711000568 |
| Provider Name | Autumn Rae Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003349879 PECOS PAC ID: 4385004035 Enrollment ID: I20230713001787 |
| Provider Name | Lauren A Braden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467986885 PECOS PAC ID: 9133496128 Enrollment ID: I20230816002370 |
| Provider Name | Lauren A Raby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861830929 PECOS PAC ID: 0840553814 Enrollment ID: I20230824000984 |
| Provider Name | Jake Oman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730561143 PECOS PAC ID: 1153664602 Enrollment ID: I20231027002357 |
| Provider Name | Jayme L Schaaf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124504634 PECOS PAC ID: 5092147967 Enrollment ID: I20231030000548 |
| Provider Name | Kelsey Irene Schamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750066114 PECOS PAC ID: 9739535659 Enrollment ID: I20231030002232 |
| Provider Name | Nina Arhin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093164634 PECOS PAC ID: 2567754112 Enrollment ID: I20240301001855 |
| Provider Name | Melissa Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902390289 PECOS PAC ID: 8224375365 Enrollment ID: I20240307000729 |
Mindcare Mental Health Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3091 Singletree Dr, Hopkinsville, KY 42240 Phone: 270-498-6465 | |
Western State Nursing Facility Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2400 Russellville Rd, Us 68 East, Hopkinsville, KY 42241 Phone: 502-886-4431 Fax: 270-886-4487 | |
One4all Counseling Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 S Main St # 550, Hopkinsville, KY 42240 Phone: 270-449-1631 | |
Women's Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1918 Bentley St, Hopkinsville, KY 42240 Phone: 270-348-6167 | |
Gazza Lab Neurology, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 High St, Suite A, Hopkinsville, KY 42240 Phone: 270-886-2559 Fax: 270-886-0388 | |
Solutions Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Main St, Suite 33, Hopkinsville, KY 42240 Phone: 270-962-7350 Fax: 270-874-2322 |