Doctor's Health & Weightloss Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOCTOR'S HEALTH & WEIGHTLOSS CLINIC

Practice address

102 N Washington St
Albany, KY 42602-1302

Phone

(606) 387-2025

Fax

(606) 387-9665

NPI assigned

Nov 15, 2018

Last updated

Jun 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol B Peddicord, MDNPI 1912990607

Title

Coowner/Physician

Phone

(606) 387-0323

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 4

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.

• Carol B Peddicord, MD

  • Family Medicine Physician
  • Albany, KY
  • NPI 1912990607
  Medicare reassignment Authorized official
• Lora Renee Brown, APRN

  • Family Nurse Practitioner
  • Monticellow, KY
  • NPI 1699135723
  Medicare reassignment
• Makayla Danielle Smith

  • Family Nurse Practitioner
  • Albany, KY
  • NPI 1831831478
  Medicare reassignment
• Arica Collins, RPH

  • Pharmacist
  • Albany, KY
  • NPI 1518439678
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1578032926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N WASHINGTON ST",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021302",
            "telephone_number": "606-387-2025",
            "fax_number": "606-387-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N WASHINGTON ST",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021302",
            "telephone_number": "606-387-2025",
            "fax_number": "606-387-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S HEALTH & WEIGHTLOSS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "PEDDICORD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "COOWNER/PHYSICIAN",
        "authorized_official_telephone_number": "606-387-0323",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100585770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Cummings, MD
• Dean Medical, Inc.
• Carol S. Denney, ARNP
• Judy Denney
• Susan Michelle Dixson, D.C.
• James Franklin Dyer IV, PHARMD
• Jennifer Ann Dyer, RPH
• Meg H Emmert, OD
• Kimberly S Evans, APRN
• Tammy Flowers

• Family Medicine Physician in Albany, KY
• Providers in Albany, 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 Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.