Individual provider Active NPI

Robert Sidney Reffner, D.O.

  • Family Medicine Physician
  • London, KY
National Provider Identifier
1003959008
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
IP903 Issued in KY
Practice address
105 Villas CT Apt 40
London, KY 40741-5008
Phone
(423) 339-9499
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IP903 KY Primary

Addresses

Primary practice location

105 Villas CT Apt 40
London, KY 40741-5008

Mailing address

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 831-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
IP903KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Physician Corp Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Jackson Hospital Corporation Past Accepting new patients
Southern Medical Partners, LLC Past Accepting new patients
Kentucky River HBP LLC Past Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients
Middlesborough Emergency Physicians LLC Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1003959008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202783",
            "telephone_number": "270-831-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VILLAS CT APT 40",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407415008",
            "telephone_number": "423-339-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFFNER",
        "first_name": "ROBERT",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "IP903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.