Active NPI
Mikalah Andree Ward, MD
- Emergency Medicine Physician
- Cynthiana, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 58333
- Practice address
- 1210 Ky 36
Cynthiana, KY 41031 - Phone
- (859) 234-2300
- NPI assigned
- Mar 29, 2021
- Last updated
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
Practice addresses (Care Compare)
1210 Ky Hwy 36 E
Cynthiana, KY 41031-7490
Phone (859) 235-3562
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58333 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Memorial Hospital | Current | Accepting new patients | |
| Medycus Staffing PLLC | Emergency Medicine | Current | Accepting new patients |
| Harrison Memorial Hospital | Current | Accepting new patients | |
| Harrison Memorial Hospital Inc | Current | Accepting new patients |
Locations
1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300
1210 KY Highway 36 E
Ste G3
Cynthiana, KY 41031
Phone (859) 234-2300
439 E Pleasant St
Cynthiana, KY 41031
Phone (859) 234-4494
Interoperability endpoints
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HMH Physician Group
- Multi-Specialty Clinic/Center
- Cynthiana, KY
- NPI 1669615233
-
- Clinic/Center
- Cynthiana, KY
- NPI 1386783868
-
dba Thoroughbred Emergency Services
- Emergency Medicine Physician
- Cynthiana, KY
- NPI 1437859162
-
dba HMH Primary Care
- Rural Health Clinic/Center
- Cynthiana, KY
- NPI 1588237150
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cynthiana, KY
- NPI 1629084702
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"
}
]
}
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- Larry M Wiley, R.PH.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.