MY 3 C'S ENTERPRISES, PLLC
NPI 1902027865
General Practice in Edmonton, KY

NPI Status: Active since May 01, 2007

Contact Information

1704 W STOCKTON ST
EDMONTON, KY
ZIP 42129
Phone: (270) 432-4800
Fax: (270) 432-4804

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  • Organization
  • General Practice

About MY 3 C'S ENTERPRISES, PLLC

This page provides the complete NPI Profile along with additional information for My 3 C's Enterprises, Pllc, a primary care provider established in Edmonton, Kentucky operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1902027865 assigned on May 2007. The practitioner's primary taxonomy code is 208D00000X with license number 35818 (KY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as My 3 C's Enterprises, Pllc. The authorized official of this NPI record is Mrs. Tiffany Nichole Dunagan Cpc (Billing Manager)

NPI
1902027865
Provider Legal Name
MY 3 C'S ENTERPRISES, PLLC
Other Organization Name
MY 3 C'S ENTERPRISES, PLLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1704 W STOCKTON ST EDMONTON, KY 42129
Location Phone
(270) 432-4800
Location Fax
(270) 432-4804
Mailing Address
1704 W STOCKTON ST EDMONTON, KY 42129
Mailing Phone
(270) 432-4800
Mailing Fax
(270) 432-4804
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2007
Last Update Date
01-10-2012
Code Navigator

A primary care provider (PCP) like My 3 C's Enterprises, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
35818
License State
KY
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. TIFFANY NICHOLE DUNAGAN CPC

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(270) 432-4800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
64029440MEDICAID (05)KY 
000000259528OTHER (01)KYANTHEM
000000259528OTHER (01)KYBLUE CROSS
0751201MEDICARE ID-TYPE UNSPECIFIED (04)KY 
H29307MEDICARE UPIN (02)KY 
7512MEDICARE ID-TYPE UNSPECIFIED (04)KY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902027865
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29020214812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 0 + 2 + 1 + 4 + 8 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1902027865 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093746190 KEVIN EMBERTON RPH
Individual
Pharmacist1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-3111
1700817897NUNN DRUGS INC
Organization
Pharmacy (Community/Retail Pharmacy)1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-3111
1487991519DR. KRISTA HARLAN, D.C., P.S.C.
Organization
Chiropractor1704 W STOCKTON ST SUITE C
EDMONTON, KY 42129
(270) 432-2212
1073858189DR. KRISTA ENNIS HARLAN D.C.
Individual
Chiropractor1704 W STOCKTON ST SUITE C
EDMONTON, KY 42129
(270) 432-2212
1548476948ADAS
Organization
Family Medicine1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-4800
1053527440METCALFE FAMILY PHYSICIANS
Organization
Family Medicine (Hospice and Palliative Medicine)1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-4800
1205560752 NATALIE D BRUCE APRN
Individual
Nurse Practitioner (Family)1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-4800
1508836487 CONSTANCE R PROSTKO APRN
Individual
Nurse Practitioner1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-4800
1558654806 ASHLEY ROE JESSIE MATNEY MD
Individual
Internal Medicine1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-4800
1710505912MRS. ADRIENE ELIZABETH WILSON APRN
Individual
Nurse Practitioner (Family)1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-4800
1831555358T J HEALTH COLUMBIA INC
Organization
Clinic/Center (Rural Health)1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-4800
1992252266 KHABEER ABDUL
Individual
Nurse Practitioner (Family)1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-4800
1477819993H2 REHABILITATION SERVICES OF KENTUCKY, LLC
Organization
Clinic/Center (Rehabilitation)1704 W STOCKTON ST SUITE A
EDMONTON, KY 42129
(270) 432-3200
1942434345H2 REHABILITATION SERVICES OF KENTUCKY, LLC
Organization
Clinic/Center (Rehabilitation)1704 W STOCKTON ST SUITE A
EDMONTON, KY 42129
(270) 432-3200
1932112042MR. PAUL DUSTON DUNN MD
Individual
Family Medicine1704 W STOCKTON ST
EDMONTON, KY 42129
(270) 432-4800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902027865, enumerated in the NPI registry as an "organization" on May 01, 2007

The provider is located at 1704 W Stockton St Edmonton, Ky 42129 and the phone number is (270) 432-4800

This medical organization specializes in General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Medicare, Medicaid, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.