Paducah Physiatric Partners P.S.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PADUCAH PHYSIATRIC PARTNERS P.S.C.

Practice address

5150 Village Square Dr
Paducah, KY 42001-9060

Phone

(270) 443-9352

Fax

(270) 443-9013

NPI assigned

Oct 2, 2006

Last updated

Mar 24, 2011By 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

Dr. Monte E Rommelman, M.D.NPI 1619969912

Title

President/Owner

Phone

(270) 443-9352

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 7

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.

• Monte E Rommelman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Paducah, KY
  • NPI 1619969912
  Medicare reassignment NPD Authorized official
• Kelly D Faulkner, A.R.N.P.

  • Nurse Practitioner
  • Paducah, KY
  • NPI 1013961895
  Medicare reassignment NPD
• Diane E Miller, PA-C

  • Medical Physician Assistant
  • Murray, KY
  • NPI 1831253103
  Medicare reassignment
• Sherry L Crittendon, ARNP

  • Family Nurse Practitioner
  • Paducah, KY
  • NPI 1194996801
  NPD (past)
• Cassie Dawson, PT,DPT,SCS,ATC,CSCS

  • Sports Physical Therapist
  • Benton, KY
  • NPI 1326336579
  NPD (past)
• Christie Ann Strickland, ARNP

  • Nurse Practitioner
  • Paducah, KY
  • NPI 1417259730
  NPD (past)
• Michelle Ross Wilson, APRN

  • Primary Care Nurse Practitioner
  • Paducah, KY
  • NPI 1174683205
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1841383353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7038",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027038",
            "telephone_number": "270-443-9352",
            "fax_number": "270-443-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE SQUARE DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019060",
            "telephone_number": "270-443-9352",
            "fax_number": "270-443-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADUCAH PHYSIATRIC PARTNERS P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "ROMMELMAN",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "270-443-9352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100103200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65905606",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405786874",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paducah Middle School Clinic
• Paducah Neurosurgical Associates, PSC
• Paducah Operating Company LLC (River Haven Nursing and Rehabilitation Center)
• Paducah Ophthalmology ASC LLC (The Eye Surgery Center of Paducah)
• Paducah Pediatric Dentistry PSC
• Paducah Physical Therapy and Pschology Center, PSC
• Paducah Plastic and Reconstructive Surgery
• Paducah Primary Care, P.S.C.
• Paducah Psychiatry Group PSC
• Paducah Public Schools

• Physical Medicine & Rehabilitation Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Physical Medicine & Rehabilitation Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.