NPIMap

Organization Active NPI

Pikeville Medical Center, Inc.

  • Family Medicine Physician
  • Jenkins, KY
National Provider Identifier
1083843007
Registry record updated Jul 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PIKEVILLE MEDICAL CENTER, INC.
Practice address
9428 Highway 805
Jenkins, KY 41537-8182
Phone
(606) 832-0023
Fax
(606) 832-0024
NPI assigned
Jul 12, 2009
Last updated
Jul 12, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PIKEVILLE MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2009

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

Authorized official

Name
Mr. Danny Harris
Title
Cfo
Phone
(606) 218-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9428 Highway 805
Jenkins, KY 41537-8182

Mailing address

PO Box 2917
Pikeville, KY 41502-2917
Phone (606) 218-3500

Other identifiers 1

IdentifierTypeStateIssuer
65922361MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Pikeville Med Ctr Inc59 organizations share this tax ID, including this one
Part of
Pikeville Med Ctr Inc

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

9428 Highway 805
Jenkins, KY 41537
Phone (606) 832-0023

NPI Registry JSON

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247356800000",
    "number": "1083843007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2917",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022917",
            "telephone_number": "606-218-3500",
            "fax_number": "606-218-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 HIGHWAY 805",
            "city": "JENKINS",
            "state": "KY",
            "postal_code": "415378182",
            "telephone_number": "606-832-0023",
            "fax_number": "606-832-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIKEVILLE MEDICAL CENTER, INC.",
        "enumeration_date": "2009-07-12",
        "last_updated": "2009-07-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-218-4502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65922361",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkins, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.