Organization Active NPI

The Family Practice of Dr. George M. Pittman PLLC

  • Family Medicine Physician
  • Richmond, KY
National Provider Identifier
1033291695
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32608 Issued in KY
Legal business name
THE FAMILY PRACTICE OF DR. GEORGE M. PITTMAN PLLC
Practice address
3190 Irvine Rd
Richmond, KY 40475-9031
Phone
(859) 369-0070
Fax
(859) 369-0073
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. George M Pittman, M.D.
Title
Sole Proprietor
Phone
(859) 369-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 32608 KY Primary

Addresses

Primary practice location

3190 Irvine Rd
Richmond, KY 40475-9031

Mailing address

PO Box 3486
Richmond, VA 23235-7486
Phone (804) 402-5403

Other identifiers 5

IdentifierTypeStateIssuer
000000351815OtherKYANTHEM
1518OtherKYBC
P00222112OtherKYRRMC
18D0946970OtherKYCLIA
0100012OtherKYUHC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1033291695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3486",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232357486",
            "telephone_number": "804-402-5403",
            "fax_number": "800-518-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 IRVINE RD",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404759031",
            "telephone_number": "859-369-0070",
            "fax_number": "859-369-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY PRACTICE OF DR. GEORGE M. PITTMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-03-07",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "859-369-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "32608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000351815",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "1518",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00222112",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "18D0946970",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0100012",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.