Dana Karen Northern, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

KY21468 Issued in KY

Practice address

1405 Nashville St
Russellville, KY 42276-8850

Phone

(270) 725-9606

Fax

(270) 725-9643

NPI assigned

Jul 1, 2005

Last updated

Oct 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1437156791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422760729",
            "telephone_number": "270-725-9606",
            "fax_number": "270-725-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NASHVILLE ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768850",
            "telephone_number": "270-725-9606",
            "fax_number": "270-725-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHERN",
        "first_name": "DANA",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "KY21468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64214687",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BLUE CROSS",
            "identifier": "000000068666",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Meade, LPCC
• Kristin Mitchell, RN
• Stacey Kay Mock
• Morgan Mudd, M.S. CCC-SLP
• Amber Nagornay, APRN
• Wendy Oliver, PHARMD
• Orthopedics Plus Physical Therapy
• Carol Yvonne Oyenuga, APRN, FNP-C
• Pathak & Pathak, M.D., P.S.C.
• Patrick K Hayden Logan Family Practice

• Family Medicine Physician in Russellville, KY
• Providers in Russellville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.