Organization Active NPI

John C Tapp MD

  • Family Medicine Physician
  • Bowling Green, KY
National Provider Identifier
1063696003
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AT3037252 Issued in KY
Legal business name
JOHN C TAPP MD
Practice address
414 Old Morgantown Rd
Bowling Green, KY 42101-2842
Phone
(270) 781-1483
Fax
(270) 781-5101
NPI assigned
Dec 27, 2007
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Dr. John C Tapp, MDNPI 1194799676
Title
Owner
Phone
(270) 781-1483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AT3037252 KY Primary

Addresses

Primary practice location

414 Old Morgantown Rd
Bowling Green, KY 42101-2842

Mailing address

414 Old Morgantown Rd
Bowling Green, KY 42101-2842
Phone (270) 781-1483

Other identifiers 4

IdentifierTypeStateIssuer
1063696003OtherKYNPI
9703OtherKYMEDICARE ID
000000045018OtherKYANTHEM/BCBS
64145238MedicaidKY

National Provider Directory

National Provider Directory

Locations

414 Old Morgantown Rd
Bowling Green, KY 42101
Phone (270) 781-1483

Practitioners & affiliated clinicians

Practitioners 3

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1063696003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 OLD MORGANTOWN RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012842",
            "telephone_number": "270-781-1483",
            "fax_number": "270-781-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OLD MORGANTOWN RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012842",
            "telephone_number": "270-781-1483",
            "fax_number": "270-781-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C TAPP MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "TAPP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-781-1483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "AT3037252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063696003",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "9703",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000045018",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64145238",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.