Individual provider Active NPI

Nicholas A. Raschella, M.D.

  • Family Medicine Physician
  • Pikeville, KY
National Provider Identifier
1114008141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28950 Issued in KY
Practice address
645 Hambley Blvd
Pikeville, KY 41501-1262
Phone
(606) 437-7074
Fax
(606) 437-7415
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28950 KY Primary

Addresses

Primary practice location

645 Hambley Blvd
Pikeville, KY 41501-1262

Mailing address

PO Box 2097
Pikeville, KY 41502-2097
Phone (606) 437-7074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28950KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thacker Family Medical, PLLC Family Medicine Past Accepting new patients
Pikeville Family Medicine Associates Family Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114008141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2097",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022097",
            "telephone_number": "606-437-7074",
            "fax_number": "606-437-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 HAMBLEY BLVD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011262",
            "telephone_number": "606-437-7074",
            "fax_number": "606-437-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCHELLA",
        "first_name": "NICHOLAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "28950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.