Active NPI
Phillips Pratt & McFarland PSC
- Family Medicine Physician
- Monticello, KY
National Provider Identifier
1104963305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHILLIPS PRATT & MCFARLAND PSC
- Practice address
- 1 S Creek Dr Ste 102
Monticello, KY 42633-9472 - Phone
- (606) 348-3365
- Fax
- (606) 348-8496
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert A Parmelee
- Title
- Administrator
- Phone
- (606) 348-3365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1 S Creek Dr Ste 102
Monticello, KY 42633-9472
Mailing address
1 S Creek Dr Ste 102
Monticello, KY 42633-9472
Phone (606) 348-3365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35000561 | Medicaid | KY |
Other names 1
- MONTICELLO MEDICAL ASSOCIATES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040429000965 | KY | Part B Supplier - Clinic/Group Practice | 2062409154 |
Receives reassigned benefits from 12 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monticello, KY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Monticello, KY
- NPI 1063007672
O20040429000965
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614902400000",
"number": "1104963305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S CREEK DR STE 102",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426339472",
"telephone_number": "606-348-3365",
"fax_number": "606-348-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S CREEK DR STE 102",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426339472",
"telephone_number": "606-348-3365",
"fax_number": "606-348-8496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILLIPS PRATT & MCFARLAND PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A",
"authorized_official_last_name": "PARMELEE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "606-348-3365"
},
"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": "35000561",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MONTICELLO MEDICAL ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monticello, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.