Organization Active NPI

M2K Internal Medicine, PSC

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1073778031
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
700168 Issued in KY
Legal business name
M2K INTERNAL MEDICINE, PSC
Practice address
120 N Eagle Creek Dr
Suite 321
Lexington, KY 40509-1827
Phone
(859) 233-1490
Fax
(859) 264-8026
NPI assigned
Jul 18, 2008
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Mrs. Jane G. Winterton
Title
Administrator
Phone
(859) 233-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 700168 KY Primary

Addresses

Primary practice location

120 N Eagle Creek Dr
Suite 321
Lexington, KY 40509-1827

Mailing address

120 N Eagle Creek Dr
Suite 321
Lexington, KY 40509-1827
Phone (859) 233-1490

Other identifiers 1

IdentifierTypeStateIssuer
7100023340MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
M2K Internal Medicine PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1073778031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "SUITE 321",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-233-1490",
            "fax_number": "859-264-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "SUITE 321",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-233-1490",
            "fax_number": "859-264-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M2K INTERNAL MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "WINTERTON",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-233-1490",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "700168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100023340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.