Rockcastle Ventures Inc. Doing Business As Mt. Vernon Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROCKCASTLE VENTURES INC. DOING BUSINESS AS MT. VERNON CLINIC

Practice address

140 Newcomb Ave
Mount Vernon, KY 40456-2728

Phone

(606) 256-4148

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Brandy Bullock

Title

Director

Phone

(606) 256-7761

Specialties & licenses 5

Addresses

Other identifiers 7

Other names 1

• Mt. Vernon Clinic Doing business as

Tax ID family

Mt Vernon Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Rockcastle Ventures D.B.a. Rockcastle Family Health

  • Family Medicine Physician
  • Mount Vernon, KY
  • NPI 1710009493
  NPD tax ID
• Rockcastle Ventures Inc.

  • Community/Retail Pharmacy
  • Mt. Vernon, KY
  • NPI 1588783625
  NPD tax ID

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1124181508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562728",
            "telephone_number": "606-256-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562728",
            "telephone_number": "606-256-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKCASTLE VENTURES INC. DOING BUSINESS AS MT. VERNON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "606-256-7761"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "12635",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "03104",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "40266",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUSAN ARNOLD, MD NPI NUMB",
            "identifier": "1114934056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HESSLER NPI",
            "identifier": "1265559389",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARA CHAMBERS MD NPI #",
            "identifier": "1639180680",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65921710",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIMBERLY CORNELIUS NPI #",
            "identifier": "1700840444",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLOREA NPI",
            "identifier": "1861619348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WILLIAM MCELWAIN NPI",
            "identifier": "1932162005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Vernon Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rockcastle Therapy Associates
• Rockcastle Ventures D.B.a. Rockcastle Family Health
• Rockcastle Ventures Inc.
• Rockcastle Ventures Inc.
• Rockcastle Ventures Inc. D.B.a. Callie Shaffer, M.D.
• Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic
• Michael Kevin Rowe, MD
• Emily Kay Saylor
• John L Saylor, MD
• Karen B Saylor, M.D.

• Internal Medicine Physician in Mount Vernon, KY
• Providers in Mount Vernon, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.