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DR. IVAN ALEXANDER ESCUDERO MD
NPI 1427679935
Family Medicine in Leitchfield, KY

Active since May 06, 2020
912 WALLACE AVE STE 102, LEITCHFIELD, KY 42754(270) 259-8888(270) 259-8887 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2024, Jul 24, 2020, May 6, 2020 (3 updates tracked since 2020).

About Dr. Ivan Alexander Escudero Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVAN ALEXANDER ESCUDERO MD (NPI 1427679935) is an individual family medicine provider in Leitchfield, Kentucky, licensed in Kentucky (57355) and active in the NPI registry since May 2020. He maintains 5 additional practice locations.

NPPES Registry Identity

NPI1427679935
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. IVAN ALEXANDER ESCUDEROCredential: MD
Location Address912 WALLACE AVE STE 102Leitchfield, KY 42754-2405
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338
Phone(270) 259-8888
Fax(270) 259-8887
Sole ProprietorNo
Enumeration DateMay 6, 2020
Last NPPES UpdateApril 30, 20243 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1427679935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 57355
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
912 WALLACE AVE STE 102, Leitchfield, KY 42754
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1510 Ruby DrMadisonville, KY 42431-2168 · Phone (270) 399-7900 · Fax (270) 399-7910
Location 21895 Elizabethtown RdLeitchfield, KY 42754-9138 · Phone (270) 230-0182 · Fax (270) 230-1420
Location 34201 St Antoine, UHC-9CDetroit, MI 48201 · Phone (313) 745-5146 · Fax (313) 966-0880
Location 41200 Barret BlvdHenderson, KY 42420-4950 · Phone (270) 844-8600 · Fax (270) 844-8610
Location 52025 W Everly Brothers Blvd Ste 1APowderly, KY 42367-5401 · Phone (270) 377-2600 · Fax (270) 377-2610

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIYANK CHAUHAN MD
Internal Medicine (Geriatric Medicine)
912 WALLACE AVE STE 102
LEITCHFIELD, KY 42754
Grayson County (270) 259-8888
OWENSBORO HEALTH MEDICAL GROUP, INC
Family Medicine
912 WALLACE AVE STE 102
LEITCHFIELD, KY 42754
Grayson County (270) 259-8888
ANN ELIZABETH SIMMONS RDN
Dietitian, Registered
912 WALLACE AVE STE 102
LEITCHFIELD, KY 42754
Grayson County (270) 259-8888
MR. STEVEN BLAKE CLEMONS APRN
Nurse Practitioner (Family)
912 WALLACE AVE STE 102
LEITCHFIELD, KY 42754
Grayson County (270) 259-8888
HALEY RENEE FULKERSON RD
Dietitian, Registered
912 WALLACE AVE STE 102
LEITCHFIELD, KY 42754
Grayson County (270) 259-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Escudero's NPI number?

The NPI number for Ivan Escudero is 1427679935. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Ivan Escudero located?

Ivan Escudero practices at 912 Wallace Ave Ste 102, Leitchfield, KY 42754. The listed phone number is (270) 259-8888.

What is Ivan Escudero's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Ivan Escudero accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Ivan Escudero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivan Escudero was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.