NPI Index

PINELAKE PHYSICIAN PRACTICE, LLC

Internal Medicine

Active Organization
NPI: 1861563439

Practice Address

1029 MEDICAL CENTER CIR
Mayfield, KY 42066

Phone: (270) 251-4590

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No -
Durable Medical Equipment & Medical Supplies 332B00000X No -
Internal Medicine - Cardiovascular Disease 207RC0000X No -
Orthopaedic Surgery 207X00000X No -
Family Medicine 207Q00000X No -
Otolaryngology - Facial Plastic Surgery 207YS0123X No -
Podiatrist - Foot & Ankle Surgery 213ES0103X No -
Surgery 208600000X No -
Surgery - Vascular Surgery 2086S0129X No -
Psychiatry & Neurology - Neurology 2084N0400X No -
Physician Assistant 363A00000X No -
Radiology - Diagnostic Radiology 2085R0202X No -
Registered Nurse - Lactation Consultant 163WL0100X No -
Nurse Anesthetist, Certified Registered 367500000X No -
Internal Medicine 207R00000X Yes -

Frequently Asked Questions

NPI 1861563439 is the National Provider Identifier for PINELAKE PHYSICIAN PRACTICE, LLC, a Internal Medicine provider located in Mayfield, KY. This NPI was enumerated on November 13, 2006.

Quick Facts

NPI
1861563439
Type
Organization
Enumerated
Nov 13, 2006
Last Updated
Jan 7, 2026

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