Healthcare Provider Details

I. General information

NPI: 1649489683
Provider Name (Legal Business Name): GOSHA M SEARS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ISAACS LN
RICHMOND KY
40475-2824
US

IV. Provider business mailing address

350 ISAACS LN
RICHMOND KY
40475-2824
US

V. Phone/Fax

Practice location:
  • Phone: 859-986-1500
  • Fax:
Mailing address:
  • Phone: 859-986-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number48374
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: