MEDICARE: DR. ANTHONY E ABANG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician	38573	KY
2	225400000X	Rehabilitation Practitioner	38573	KY
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	38573	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548250525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY E ABANG M.D.

Provider Business Mailing Address
First Line	:	1811 N DIXIE AVE, STE 104, PMB 130
Second Line	:
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-5564
Country	:	US
Telephone Number	:	270-360-0008
Fax Number	:	270-360-0141

Provider Business Practice Location Address
First Line	:	2005 NORTH DIXIE AVENUE
Second Line	:
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-2526
Country	:	US
Telephone Number	:	270-360-0008
Fax Number	:	270-360-0141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	01/02/2020

Similar Medicare Providers

1740134386 — MAGAN WRIGHT SLP
Practice Location Address:

134 HEARTLAND DR
ELIZABETHTOWN, KY
42701-2778

Practice Phone: 270-769-3100
Practice Fax:

1811540131 — WYNNA KAY TABB
Practice Location Address:

915 MEMORIAL CT
ELIZABETHTOWN, KY
42701-2525

Practice Phone: 270-982-4200
Practice Fax: 270-982-4201

1508710633 — LATISHA DAWN ASHBAUGH
Practice Location Address:

913 N DIXIE AVE
ELIZABETHTOWN, KY
42701-2503

Practice Phone: 270-706-1212
Practice Fax:

1184578114 — JONATHAN DARRELL COTTRELL JR. LPCA
Practice Location Address:

1105 JULIANNA CT STE 1
ELIZABETHTOWN, KY
42701-7937

Practice Phone: 270-769-3714
Practice Fax:

1760159875 — KERRY A WEINTRAUB LCSW
Practice Location Address:

308 W DIXIE AVE
ELIZABETHTOWN, KY
42701-1702

Practice Phone: 270-234-0003
Practice Fax: 270-360-0840

1295010833 — ETOWN INFUSION PHARMACY LLC
Practice Location Address:

914 N DIXIE AVE , SUITE 101
ELIZABETHTOWN, KY
42701-2520

Practice Phone: 270-506-2463
Practice Fax:

Directions to “ DR. ANTHONY E ABANG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.