Villagemd Kentucky, PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TP057 Issued in KY

Legal business name

VILLAGEMD KENTUCKY, PSC

Practice address

1000 S 12TH St
Murray, KY 42071

Phone

(270) 759-9200

Fax

(270) 759-8368

NPI assigned

Jul 17, 2017

Last updated

May 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Lee Rubas

Title

General Counsel

Phone

(312) 465-7898

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1104348622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CLARK ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606035200",
            "telephone_number": "312-465-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-759-9200",
            "fax_number": "270-759-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGEMD KENTUCKY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "RUBAS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "312-465-7898"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP057",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "TP057",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "TP057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Vance
• Heather Vascassenno, APRN
• Amy Vaughn
• James Clayton Vertrees
• Villagemd Clinicals Pharmacy Kentucky (ConnectCareRx)
• David Vincent, APRN
• VMD Primary Providers Central Kentucky (Village Medical)
• VMD Primary Providers Central Kentucky
• VMD Primary Providers Central Kentucky
• VMD Primary Providers Central Kentucky (Village Medical)

• Family Medicine Physician in Murray, KY
• Providers in Murray, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.