| Pikeville Medical Center, Inc. | |
|
911 Bypass Rd Bldg A Pikeville KY 41501-1602 | |
| (606) 430-3500 | |
| (606) 432-6762 |
| Full Name | Pikeville Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 Bypass Rd Bldg A, Pikeville, Kentucky |
| Authorized Official Name and Position | Michelle Hagy (CFO) |
| Authorized Official Contact | 6064303519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikeville Medical Center, Inc. Po Box 432 Pikeville KY 41502-0432 Ph: (606) 430-3500 | Pikeville Medical Center, Inc. 911 Bypass Rd Bldg A Pikeville KY 41501-1602 Ph: (606) 430-3500 |
| NPI Number | 1083491955 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 6709790157 |
|---|---|
| Medicare Enrollment ID | O20231110000842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083491955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Samuel Dawn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295797322 PECOS PAC ID: 1456301126 Enrollment ID: I20050131000384 |
| Provider Name | Shelley Bath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982866877 PECOS PAC ID: 0446311120 Enrollment ID: I20081213000105 |
| Provider Name | Philip Granchi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356517130 PECOS PAC ID: 2466630546 Enrollment ID: I20140328001335 |
| Provider Name | Leyla Nasehi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043629504 PECOS PAC ID: 3577859271 Enrollment ID: I20191114003333 |
| Provider Name | Dhimiter Kondili |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699125450 PECOS PAC ID: 1052699857 Enrollment ID: I20210720001972 |
| Provider Name | Bao Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982641916 PECOS PAC ID: 9032013461 Enrollment ID: I20211020002290 |
Pikeville Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-432-6762 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 59 Thacker Rd, Pikeville, KY 41501 Phone: 606-637-2256 | |
Appalachian Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8015 Millard Hwy, Pikeville, KY 41501 Phone: 606-653-2222 | |
Bhatraju Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Town Mountain Rd, Suite 111, Pikeville, KY 41501 Phone: 606-432-0168 | |
Kevin Brandt Johnson, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Adams Lane, Suite 600, Pikeville, KY 41501 Phone: 606-639-6538 | |
Webb Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 Town Mountain Rd, Suite 203, Pikeville, KY 41501 Phone: 606-253-3003 Fax: 606-253-3002 |