Medical Associates of Southern Kentucky PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDICAL ASSOCIATES OF SOUTHERN KENTUCKY PLLC

Doing business as

m.a.s.k.

Practice address

211 Professional Park Dr
Glasgow, KY 42141-3486

Phone

(276) 935-2141

Fax

(276) 935-2269

NPI assigned

Oct 14, 2006

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William C Thornbury Jr., MDNPI 1417027525

Title

Owner

Phone

(270) 659-9696

Specialties & licenses 3

Addresses

Other names 1

• m.a.s.k. Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• William C Thornbury Jr., M.D.

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1417027525
  Medicare reassignment NPD Authorized official
• Christie Ann Boone, PAC

  • Medical Physician Assistant
  • Glasgow, KY
  • NPI 1073585162
  Medicare reassignment
• William J Bradshaw, PA-C

  • Physician Assistant
  • Glasgow, KY
  • NPI 1760076657
  Medicare reassignment
• Bethany Alexandra Pare, PA-C

  • Medical Physician Assistant
  • Glasgow, KY
  • NPI 1043099393
  Medicare reassignment

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1063502334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PROFESSIONAL PARK DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413486",
            "telephone_number": "270-659-9696",
            "fax_number": "270-659-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PROFESSIONAL PARK DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413486",
            "telephone_number": "276-935-2141",
            "fax_number": "276-935-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF SOUTHERN KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "THORNBURY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-659-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA905",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "m.a.s.k.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "m.a.s.k.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McPeak Vision Partners PLLC
• Dailey McPeak, MD
• Cindy Meadows, LPCC
• Medical Arts Pharmacy of Glasgow, Inc. (Medical Arts Pharmacy)
• Medical Arts Pharmacy of Glasgow, Inc.
• Medical Services, Inc. (Glasgow Kidney Center)
• Carmen Alexandra Medina, D.C.
• Jordan David Meekins, MS, CRC, LPC
• Gordon Melton
• Deborah Messenger, LMFTA

• Family Medicine Physician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.