Family Practice of Louisa, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

31770 Issued in KY

Legal business name

FAMILY PRACTICE OF LOUISA, PLLC

Practice address

40 Medical HTS
Louisa, KY 41230-9603

Phone

(606) 638-0033

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Jeremy Klein, MDNPI 1922178052

Title

Sole Member

Phone

(606) 638-0033

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jeremy C Klein

  • Family Medicine Physician
  • Louisa, KY
  • NPI 1922178052
  NPD (past) Authorized official

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1083976989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEDICAL HTS",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309603",
            "telephone_number": "606-638-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF LOUISA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "606-638-0033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "31770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Faehr
• Connie Fairchild
• Gerald L Fairchild, D.M.D.
• Cassandra Falin
• Travis Falls
• Christopher Ross Fangman
• Charity Fannin, LCSW
• Toni Renee Farley, PSS
• Micah Shane Farmer, PSS
• Erin Paige Farrar, APRN

• Primary Care Clinic/Center in Louisa, KY
• Providers in Louisa, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.