Kings Daughters Medical Specialties Inc.
Organization Active NPI Cardiovascular Disease Physician · Ashland, KY
NPI 1134484892 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1134484892
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- KINGS DAUGHTERS MEDICAL SPECIALTIES INC.
- Practice address
- 613 23Rd St Ste 210
Ashland, KY 41101-2868 - Phone
- (606) 326-9847
- Fax
- (606) 324-3418
- NPI assigned
- Jul 9, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sara Marks
- Title
- Ceo/President
- Phone
- (606) 408-4401
Other NPIs on the same Medicare enrollment 33
Practitioners 54
-
Omran Riad Abul-Khoudoud, MD, FACS, RVT
-
Susan Aliff, APRN
-
Amarbir Singh Bhullar, M.D.
-
Jon A. Brinkman, D.O.
-
Frank E. Caines, CRNA
-
David William Dockray, M.D.
-
James W. Egel, MD
-
Julie Ann Estep, APRN, FNP-C
-
Hannah Fairchild, APRN
-
Michele A Friday, MD
-
Brea W Gee, ARPN
-
Kelsey Lauren Gee, APRN
-
David Kendall Goebel, M.D.
-
Eric L Herrell, CRNA
-
Mary Katherine Hughes, M.D.
-
Ashley Malone, MSN, RN, FNP-BC
-
Jenawik C Marcum, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100114000813 | OH | Part B Supplier - Clinic/Group Practice | 6103968029 |
Receives reassigned benefits from 181 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wheelersburg, OH; Waverly, OH; South Point, OH; Portsmouth, OH; Lucasville, OH; Jackson, OH; Ironton, OH; Franklin Furance, OH |
| O20100217000538 | KY | Part B Supplier - Clinic/Group Practice | 6103968029 |
Receives reassigned benefits from 554 practitioners 27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
613 23rd St
Ste 210
Ashland, KY 41101
Phone (606) 326-9847
609 N Carol Malone Blvd
#105
Grayson, KY 41143
Phone (606) 408-8200
906 E MTN Pkwy
Salyersville, KY 41465
Phone (606) 349-8100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes | ||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | |||
| Interventional Cardiology Physician |
207RI0011X | |||
| Infectious Disease Physician |
207RI0200X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Vascular & Interventional Radiology Physician |
2085R0204X | |||
| Vascular Surgery Physician |
2086S0129X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | |||
| Physician Assistant |
363A00000X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X | |||
| Adult Health Nurse Practitioner |
363LA2200X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
613 23Rd St Ste 210
Ashland, KY 41101-2868
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200
Other practice location 1
14395 St Rt 93
Jackson, OH 45640-9798
Phone (740) 288-7681
Other practice location 2
2001 Scioto Trl Ste 200
Portsmouth, OH 45662-5122
Phone (740) 353-8100
Other practice location 3
800 Saint Christopher Dr Ste 1
Ashland, KY 41101-7030
Phone (606) 836-9613
Other practice location 4
912 Park Ave
Ironton, OH 45638-1596
Phone (606) 324-4745
Other practice location 5
211 St Rt 59
Vanceburg, KY 41179
Phone (866) 353-5919
Other practice location 6
1908 N Ky 7
Sandy Hook, KY 41171-7172
Phone (606) 474-2235
Other practice location 7
906 E Mountain Pkwy
Salyersville, KY 41465-8379
Phone (606) 886-0892
Other practice location 8
1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889
Phone (606) 886-0892
Other practice location 9
391 W Tom T Hall Blvd
Olive Hill, KY 41164-7688
Phone (606) 286-8039
Other practice location 10
2483 Highway 644 Ste 103
Louisa, KY 41230-9242
Phone (606) 638-9954
Other practice location 11
St Rt 40 E Blacklog
Inez, KY 41224
Phone (606) 886-0892
Other practice location 12
613 23rd St Ste 520
Ashland, KY 41101-2878
Phone (606) 326-1675
Other practice location 13
613 23rd St Ste 230
Ashland, KY 41101-2868
Phone (606) 324-4745
Other practice location 14
619 North Carol Malone Blvd
Ste 105
Grayson, KY 41143-1123
Phone (606) 474-2235
Other practice location 15
214 Collins Ave Ste A
South Point, OH 45680-3506
Phone (740) 867-2850
Other names
- Kings Daughters Medical Specialties - KHI Cardiology
- Kings Daughters Medical Specialties - TSVS
Other providers in Ashland, KY
- Kings Daughters Medical Specialties Inc
- Kings Daughters Medical Specialties Inc
- Kings Daughters Medical Specialties Inc
- Kings Daughters Medical Specialties Inc
- Kings Daughters Medical Specialties Inc
- Kings Daughters Medical Specialties Inc.,
- Kings Daughters Medical Specialties Inc.,
- Kings Daughters Medical Specialties Inc.,
- Kings Daughters Medical Specialties Interventional Spine
- Kristy A. Kinney
All providers in Ashland, KY · Cardiovascular Disease Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.