Individual provider Active NPI

Mikalah Andree Ward, MD

  • Emergency Medicine Physician
  • Cynthiana, KY
National Provider Identifier
1003493586
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58333 Issued in KY
Practice address
1210 Ky 36
Cynthiana, KY 41031
Phone
(859) 234-2300
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R6107 KY
Emergency Medicine Physician 207P00000X 58333 KY Primary

Addresses

Primary practice location

1210 Ky 36
Cynthiana, KY 41031

Mailing address

PO Box 411
Georgetown, KY 40324-0411

Other names 1

  • Mikalah Andree Gribbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815003771 KY Practitioner - Emergency Medicine 8527440569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison Memorial HospitalGroup PAC ID 4284784067, 60 clinicians

Practice addresses (Care Compare)

1210 Ky Hwy 36 E
Cynthiana, KY 41031-7490
Phone (859) 235-3562

Hospital & facility affiliations

  • Harrison Memorial Hospital Hospital, Cynthiana, KY, CCN 180079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58333KYMDEmergency Medicine Physician
R6107KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Memorial Hospital CurrentSince Mar 24, 2025 Accepting new patients
Harrison Memorial Hospital Inc CurrentSince Mar 24, 2025 Accepting new patients
Harrison Memorial Hospital CurrentSince Mar 24, 2025 Accepting new patients
Medycus Staffing PLLC Emergency Medicine CurrentSince May 22, 2023 Accepting new patients

Locations

439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-9222

800 Rose St
Rm M53
Lexington, KY 40536
Phone (859) 323-5083

Interoperability endpoints

  • Direct secure messaging: mward79690@direct.kdhealth.us

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1003493586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403240411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY 36",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "41031",
            "telephone_number": "859-234-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MIKALAH",
        "middle_name": "ANDREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "R6107",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "58333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKALAH",
            "last_name": "GRIBBELL",
            "middle_name": "ANDREE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.