| 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 | 1245017144 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 6709790157 |
|---|---|
| Medicare Enrollment ID | O20230927004072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245017144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | David Samuelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568451508 PECOS PAC ID: 6406758770 Enrollment ID: I20040126000787 |
| Provider Name | Chad Kelman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376514026 PECOS PAC ID: 7618950312 Enrollment ID: I20040612000024 |
| Provider Name | Stephen J Kennedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407821424 PECOS PAC ID: 8426090754 Enrollment ID: I20050526000721 |
| Provider Name | Pamela L Caslowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285626770 PECOS PAC ID: 1557350220 Enrollment ID: I20081230000417 |
| Provider Name | Lee Friedman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992867360 PECOS PAC ID: 2163577107 Enrollment ID: I20090827000377 |
| Provider Name | Mark Mahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609863778 PECOS PAC ID: 5597849315 Enrollment ID: I20100128000377 |
| Provider Name | Annette Weis-mcnulty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598928582 PECOS PAC ID: 8325225626 Enrollment ID: I20110615000011 |
| Provider Name | Edem Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053324574 PECOS PAC ID: 6305978164 Enrollment ID: I20110818000092 |
| Provider Name | Michael J Plaza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013179423 PECOS PAC ID: 4082848676 Enrollment ID: I20140919000943 |
| Provider Name | Peter Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184754384 PECOS PAC ID: 6406876010 Enrollment ID: I20151006002808 |
| Provider Name | Sean Takeuchi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114956695 PECOS PAC ID: 0345230918 Enrollment ID: I20160215000805 |
| Provider Name | Anthony Harewood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861464265 PECOS PAC ID: 9234213406 Enrollment ID: I20181221001998 |
| Provider Name | Michael Fitzgerald Rolen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730316118 PECOS PAC ID: 8022330893 Enrollment ID: I20190110000638 |
| Provider Name | James Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003203902 PECOS PAC ID: 0446571574 Enrollment ID: I20200518001942 |
| Provider Name | Nicholas Lambert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902225295 PECOS PAC ID: 0648692806 Enrollment ID: I20200617002537 |
| Provider Name | Francisco Contreras |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184034118 PECOS PAC ID: 2860817533 Enrollment ID: I20200729001897 |
| Provider Name | Vincent Picascio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659725323 PECOS PAC ID: 1759785470 Enrollment ID: I20210803001479 |
| Provider Name | Daniel Devincent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942627054 PECOS PAC ID: 5395070569 Enrollment ID: I20210810002748 |
| Provider Name | James Vogler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326401514 PECOS PAC ID: 2062707227 Enrollment ID: I20220629000188 |
| Provider Name | Tyler Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336645191 PECOS PAC ID: 6406213552 Enrollment ID: I20230605001258 |
| Provider Name | Sen Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033643697 PECOS PAC ID: 9638523921 Enrollment ID: I20230920001489 |
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 | |
Ovp Health 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 | |
Mountain Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5425 N Mayo Trl Ste 201, Pikeville, KY 41501 Phone: 606-432-0191 | |
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 | |
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 |