Organization Active NPI

Elizabethtown Family Care Clinic

  • Family Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1083665152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELIZABETHTOWN FAMILY CARE CLINIC
Practice address
1239 Woodland Dr
Ste 106
Elizabethtown, KY 42701-2770
Phone
(270) 360-0851
Fax
(270) 360-0859
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carol Purdy Worrill, D.O.
Title
Owner
Phone
(270) 360-0851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1239 Woodland Dr
Ste 106
Elizabethtown, KY 42701-2770

Mailing address

1239 Woodland Dr
Ste 106
Elizabethtown, KY 42701-2770
Phone (270) 360-0851

National Provider Directory

National Provider Directory

Locations

924 N Mulberry St
Ste 110
Elizabethtown, KY 42701
Phone (270) 360-0851

1239 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 360-0851

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083665152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 WOODLAND DR",
            "address_2": "STE 106",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012770",
            "telephone_number": "270-360-0851",
            "fax_number": "270-360-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 WOODLAND DR",
            "address_2": "STE 106",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012770",
            "telephone_number": "270-360-0851",
            "fax_number": "270-360-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETHTOWN FAMILY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORRILL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "PURDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-360-0851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.