Organization Active NPI

Taylor County Family Practice PSC

  • Adult Medicine Physician
  • Campbellsville, KY
National Provider Identifier
1013035419
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
26865 Issued in KY
Legal business name
TAYLOR COUNTY FAMILY PRACTICE PSC
Practice address
407 E 1St St
Campbellsville, KY 42718-1837
Phone
(270) 465-4841
Fax
(270) 465-0120
NPI assigned
Mar 26, 2007
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Lora Sztendera, M.D.NPI 1114069481
Title
President
Phone
(270) 465-4841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 26865 KY Primary

Addresses

Primary practice location

407 E 1St St
Campbellsville, KY 42718-1837

Mailing address

407 E 1St St
Campbellsville, KY 42718-1836
Phone (270) 465-4841

National Provider Directory

National Provider Directory

Locations

59 Joe Kerr Rd
Campbellsvlle, KY 42718
Phone (270) 465-4841

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1013035419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 1ST ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181836",
            "telephone_number": "270-465-4841",
            "fax_number": "270-465-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 1ST ST",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427181837",
            "telephone_number": "270-465-4841",
            "fax_number": "270-465-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR COUNTY FAMILY PRACTICE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "SZTENDERA",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-465-4841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "26865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.