Appalachian Primary Care LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

APPALACHIAN PRIMARY CARE LLC

Practice address

92 Pickett LN
Prestonsburg, KY 41653-8569

Phone

(606) 874-0112

Fax

(606) 874-0115

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Mohammed Akhlack Hossain Mazumder, MDNPI 1043445927

Title

President

Phone

(606) 874-0112

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mohammed Akhlack Hossain Mazumder, M.D.

  • Family Medicine Physician
  • Prestonsburg, KY
  • NPI 1043445927

  Primary Care

  NPD Authorized official

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1063992733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 PICKETT LN",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538569",
            "telephone_number": "606-874-0112",
            "fax_number": "606-874-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 PICKETT LN",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538569",
            "telephone_number": "606-874-0112",
            "fax_number": "606-874-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "MAZUMDER",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "AKHLACK HOSSAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-874-0112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anness, RN
• Elizabeth Antonio
• Linzi Antos, LCSW
• Appalachian Behavioral Health Group LLC (Evergreen Clinical Associates)
• Appalachian Health Services Inc
• Appalachian Primary Care LLC
• Appalachian Regional Healthcare, Inc (ARH Retail Pharmacy)
• Appalachian Regional Healthcare, Inc (ARH Medical and Specialty Associates - Prestonsburg)
• Appalachian Regional Healthcare, Inc. (Big Sandy ARH Home Medical Equipment)
• Appalachian Surgical Anesthesia, LLC

• Primary Care Nurse Practitioner in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.