Organization Active NPI

Enlow and Shahzad Associates in Medicine,PSC

  • Family Medicine Physician
  • Danville, KY
National Provider Identifier
1023072097
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ENLOW AND SHAHZAD ASSOCIATES IN MEDICINE,PSC
Practice address
105 Ponder CT
Suite 104
Danville, KY 40422-9050
Phone
(859) 236-4216
Fax
(859) 238-9760
NPI assigned
Apr 14, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Anthony Craig Enlow, M.D.
Title
President
Phone
(859) 236-4216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

105 Ponder CT
Suite 104
Danville, KY 40422-9050

Mailing address

105 Ponder CT
Suite 104
Danville, KY 40422-9050
Phone (859) 236-4216

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1023072097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PONDER CT",
            "address_2": "SUITE 104",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229050",
            "telephone_number": "859-236-4216",
            "fax_number": "859-238-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PONDER CT",
            "address_2": "SUITE 104",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229050",
            "telephone_number": "859-236-4216",
            "fax_number": "859-238-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLOW AND SHAHZAD ASSOCIATES IN MEDICINE,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "ENLOW",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-236-4216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.