Sonya A Caldwell , PA-C
Physician Assistant • Flatwoods, KY
1107 Bellefonte Rd
Flatwoods, KY 411392503
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Sonya Caldwell is listed in NPPES under Physician Assistant.
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NPI assigned on October 5, 2006; this date does not establish years in practice.
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Published CMS data list 705 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 266 service units.
- 99214 — Established patient outpatient office visit: 206 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 89 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 9,590 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Omeprazole — 471 prescription fills, including refills.
- Atorvastatin Calcium — 443 prescription fills, including refills.
- Amlodipine Besylate — 347 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 138 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Kentucky (2024, 992 clinicians with data). Median for this group: 223. Middle half: 83 to 696.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 934 in 2020 to 705 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1107 Bellefonte Rd
Flatwoods, KY 411392503
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Ashland Hospital Corporation; Premier Therapy And Health Centers Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Kentucky College Of Medicine
1988
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
249 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $43,525 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $31,512 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
18,991 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$535,268 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,354.22 across 95 records.
By nature of payment
- Food and Beverage: $1,354.22 across 95 records.
Reporting-company totals (3 largest of 11)
- ABBVIE INC.: $371.55 across 33 records.
- Pfizer Inc.: $254.21 across 23 records.
- AstraZeneca Pharmaceuticals LP: $173.79 across 9 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
38 years (graduated 1988)
CMS Doctors and Clinicians data list 1988 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Sonya Caldwell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Sonya Caldwell as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Flatwoods and Kentucky
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Kentucky (2024, 992 clinicians with data). Median for this group: 223. Middle half: 83 to 696.
Too few clinicians listed under Physician Assistant in Flatwoods have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Kentucky (2024, 992 clinicians with data). Median for this group: $16,172. Middle half: $6,884 to $37,808.
Too few clinicians listed under Physician Assistant in Flatwoods have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Kentucky (2024, 992 clinicians with data). Median for this group: $11,983. Middle half: $4,960 to $27,981.
Too few clinicians listed under Physician Assistant in Flatwoods have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Kentucky (2024, 956 clinicians with data). Median for this group: 265. Middle half: 79 to 1,026.
Too few clinicians listed under Physician Assistant in Flatwoods have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Kentucky (2024, 956 clinicians with data). Median for this group: $4,696. Middle half: $599 to $143,392.
Too few clinicians listed under Physician Assistant in Flatwoods have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Physician Assistant with a practice address in Flatwoods, KY (1,958 in Kentucky).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 25% from 934 in 2020 to 705 in 2024.
- 2020: 934
- 2021: 876
- 2022: 724
- 2023: 689
- 2024: 705
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $40,692 in 2020 and $43,525 in 2024.
- 2020: $40,692
- 2021: $47,585
- 2022: $41,866
- 2023: $43,663
- 2024: $43,525
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Paid by Medicare
Paid by Medicare increased 29% from $24,516 in 2020 to $31,512 in 2024.
- 2020: $24,516
- 2021: $32,096
- 2022: $28,165
- 2023: $30,311
- 2024: $31,512
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 9,688 in 2020 and 9,590 in 2024.
- 2020: 9,688
- 2021: 9,007
- 2022: 8,519
- 2023: 9,415
- 2024: 9,590
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30-day fills
30-day fills increased 10% from 17,326 in 2020 to 18,991 in 2024.
- 2020: 17,326
- 2021: 16,925
- 2022: 16,994
- 2023: 19,093
- 2024: 18,991
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Part D drug cost
Part D drug cost varied from year to year: $565,127 in 2020 and $535,268 in 2024.
- 2020: $565,127
- 2021: $547,245
- 2022: $463,885
- 2023: $730,052
- 2024: $535,268
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Industry payments (Open Payments)
Industry payments (Open Payments) varied from year to year: $1,313.14 in 2021 and $1,354.22 in 2025.
- 2021: $1,313.14
- 2022: $828.85
- 2023: $1,043.14
- 2024: $1,092.85
- 2025: $1,354.22
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 95 records totaling $1,354.22.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $41.86 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $26.49 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Rybelsus | General | $26.03 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $25.71 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $24.80 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $23.39 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
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CAPLYTA | General | $23.25 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
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CAPLYTA | General | $22.56 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $21.36 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $21.05 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $21.00 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $20.91 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $20.79 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Rybelsus | General | $20.66 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $20.50 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
MOUNJARO | General | $19.82 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $19.28 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $18.92 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $18.90 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
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CAPLYTA | General | $18.86 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $18.81 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
REXULTI | General | $18.53 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $18.51 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
MOUNJARO | General | $18.41 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $18.28 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
266 | 149 | $85.67 | $52.50 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
206 | 135 | $146.41 | $77.67 |
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36415
Insertion of needle into vein for collection of blood sample
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89 | 77 | $10.00 | $8.65 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
61 | 61 | $366.00 | $101.11 |
|
G0008
Administration of influenza virus vaccine
|
39 | 39 | $29.00 | $28.42 |
|
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
|
16 | 16 | $291.00 | $284.32 |
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90480
Admn sarscov2 vacc 1 dose
|
14 | 14 | $50.00 | $39.31 |
|
G0009
Administration of pneumococcal vaccine
|
14 | 14 | $37.00 | $29.62 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Omeprazole | Omeprazole | 471 | 31,039 | $3,964.34 | 149 |
| Atorvastatin Calcium | Atorvastatin Calcium | 443 | 30,814 | $2,756.38 | 145 |
| Amlodipine Besylate | Amlodipine Besylate | 347 | 24,163 | $1,653.76 | 103 |
| Levothyroxine Sodium | Levothyroxine Sodium | 308 | 21,092 | $3,488.19 | 94 |
| Lisinopril | Lisinopril | 299 | 20,798 | $1,568.63 | 97 |
| Losartan Potassium | Losartan Potassium | 219 | 15,870 | $1,433.74 | 75 |
| Montelukast Sodium | Montelukast Sodium | 211 | 12,464 | $1,643.27 | 61 |
| Metoprolol Tartrate | Metoprolol Tartrate | 198 | 13,089 | $880.03 | 62 |
| Gabapentin | Gabapentin | 198 | 7,633 | $2,424.36 | 51 |
| Sertraline Hcl | Sertraline Hcl | 198 | 13,274 | $1,209.90 | 59 |
| Famotidine | Famotidine | 187 | 11,373 | $3,460.32 | 59 |
| Metformin Hcl | Metformin Hcl | 174 | 11,396 | $978.07 | 50 |
| Potassium Chloride | Potassium Chloride | 169 | 10,391 | $4,650.00 | 60 |
| Metoprolol Succinate | Metoprolol Succinate | 162 | 12,356 | $2,092.38 | 52 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 160 | 9,986 | $2,033.61 | 56 |
| Hydrochlorothiazide | Hydrochlorothiazide | 154 | 13,030 | $384.06 | 56 |
| Duloxetine Hcl | Duloxetine Hcl | 154 | 9,429 | $6,108.34 | 50 |
| Furosemide | Furosemide | 150 | 9,461 | $545.41 | 67 |
| Pravastatin Sodium | Pravastatin Sodium | 148 | 11,799 | $1,748.20 | 46 |
| Pantoprazole Sodium | Pantoprazole Sodium | 146 | 9,947 | $1,528.42 | 59 |
| Fluticasone Propionate | Fluticasone Propionate | 143 | 8,045 | $2,029.82 | 69 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 139 | 4,852 | $5,127.41 | 56 |
| Prednisone | Prednisone | 131 | 1,055 | $227.34 | 99 |
| Tramadol Hcl | Tramadol Hcl | 128 | 3,757 | $872.63 | 37 |
| Tamsulosin Hcl | Tamsulosin Hcl | 111 | 7,440 | $923.21 | 37 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20081017000474
KY
4183782279
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Ashland Hospital Corporation
1109 Bellefonte Rd, Flatwoods, KY 411392503
Phone: 6062868086
Ashland Hospital Corporation
1107 Bellefonte Rd, Flatwoods, KY 411392503
Phone: 6068340125
Premier Therapy And Health Centers Inc
2400 13th St, Ashland, KY 411024510
Phone: 6063290910
Ashland Hospital Corporation
1908 N Ky, Sandy Hook, KY 411717172
Phone: 6067389339
Ashland Hospital Corporation
2201 Lexington Ave, Ashland, KY 411012843
Phone: 6064084000
Ashland Hospital Corporation
12100 Princeland Dr, Ashland, KY 411027885
Phone: 6069282963
Premier Therapy And Health Centers Inc
209 N 2nd St, Ironton, OH 456381485
Phone: 7405341410
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History
NPI enumerated October 05, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
2201 Lexington Ave
Ashland, KY 411012843
Phone: 6063275044