Active NPI
Diabetic Health, Inc.
- Family Medicine Physician
- Manchester, KY
National Provider Identifier
1275856247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DIABETIC HEALTH, INC.
- Practice address
- 509 Memorial Dr
Suite 2
Manchester, KY 40962-6195 - Phone
- (606) 598-8813
- Fax
- (606) 598-0983
- NPI assigned
- Mar 5, 2010
- Last updated
- Oct 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven D Spady, D.O.
- Title
- Owner
- Phone
- (606) 598-8813
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
509 Memorial Dr
Suite 2
Manchester, KY 40962-6195
Mailing address
509 Memorial Dr
Manchester, KY 40962-6195
Phone (606) 598-8813
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710016290 | Medicaid | KY | |
| 000000672417 | Other | KY | ANTHEM BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Manchester, KY
- NPI 1770553463
-
- Psychiatric/Mental Health Nurse Practitioner
- Booneville, KY
- NPI 1326131434
-
- Family Nurse Practitioner
- Barbourville, KY
- NPI 1831167584
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
- NPI 1114902384
-
- Diagnostic Radiology Physician
- Highlands, NC
- NPI 1497727069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382572800000",
"number": "1275856247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MEMORIAL DR",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626195",
"telephone_number": "606-598-8813",
"fax_number": "606-598-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MEMORIAL DR",
"address_2": "SUITE 2",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626195",
"telephone_number": "606-598-8813",
"fax_number": "606-598-0983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETIC HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-05",
"last_updated": "2013-10-24",
"status": "A",
"authorized_official_last_name": "SPADY",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-598-8813",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "710016290",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "000000672417",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, KY
- Cumberland Valley District Health Department (Cumberland Valley District Home Health)
- Paige Taylor Daly, PT
- G. Eldon Depew, PHARM D
- Suvas Ghelabhai Desai, MD
- Cindy Dezarn, MSPT
- East Bernstadt Medical Clinic PLLC (Burning Springs Medical Clinic)
- Edwards Clinic, PSC
- Dana Phillip Edwards, M.D.
- Eva Angel Edwards, APRN,FNP-BC,RFNA,CNO
- Ahmed El Gammal, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.