Healthcare Provider Details

I. General information

NPI: 1851966444
Provider Name (Legal Business Name): HEALTHCARE PHENOMENA SPECIALTY GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6703 LUNAR DR
LOUISVILLE KY
40258-3405
US

IV. Provider business mailing address

6703 LUNAR DR
LOUISVILLE KY
40258-3405
US

V. Phone/Fax

Practice location:
  • Phone: 502-609-0011
  • Fax:
Mailing address:
  • Phone: 502-609-0011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1103X
TaxonomyResearch Study Abstracter/Coder
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: RONNIE TURNMIRE
Title or Position: HPSG OWNER
Credential:
Phone: 502-609-0011