Enlow and Shahzad Associates in Medicine,PSC

Key facts

NPI: 1023072097
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 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
Organization subpart: No

Authorized official

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	207Q00000X			Yes

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

Other identifiers

Identifier	Type	State	Issuer
65901522	Medicaid	KY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 7, 2010.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65901522",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

All providers in Danville, KY · Family Medicine Physician in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.