NPIMap

Organization Active NPI

ER & Associates

Doing business as Southern Ky Medical Association

  • Nurse Practitioner
  • Russell Springs, KY
National Provider Identifier
1063645158
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ER & ASSOCIATES
Doing business as
Southern Ky Medical Association
Practice address
80 Joe T Pettey Drive
Russell Springs, KY 42642-1383
Phone
(270) 866-4357
NPI assigned
Aug 24, 2009
Last updated
Aug 24, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ER & ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Mrs. Angie Cundiff-Roy, ARNP
Title
Owner
Phone
(270) 507-6088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

80 Joe T Pettey Drive
Russell Springs, KY 42642-1383

Mailing address

PO Box 1383
Russell Springs, KY 42642-1383
Phone (270) 866-4357

Other names 1

  • SOUTHERN KY MEDICAL ASSOCIATION Doing business as

National Provider Directory

National Provider Directory
Part of
ER Associates

Locations

80 Joe T Petty Dr
Russell Springs, KY 42642
Phone (270) 866-4357

Practitioners & affiliated clinicians

Practitioners 5

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": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1063645158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1383",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426421383",
            "telephone_number": "270-866-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JOE T PETTEY DRIVE",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426421383",
            "telephone_number": "270-866-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER & ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ER & ASSOCIATES",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF-ROY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-507-6088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN KY MEDICAL ASSOCIATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russell Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.