NPIMap

Organization Active NPI

Warsaw Family Medicine

  • Family Medicine Physician
  • Warsaw, KY
National Provider Identifier
1124309943
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WARSAW FAMILY MEDICINE
Practice address
302 West Main Street
Warsaw, KY 41095
Phone
(859) 567-2754
Fax
(859) 567-5108
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Janice Cornett
Title
Clerk
Phone
(859) 567-2754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X KY Primary

Addresses

Primary practice location

302 West Main Street
Warsaw, KY 41095

Mailing address

PO Box 128
Warsaw, KY 41095-0128
Phone (859) 567-2754

National Provider Directory

National Provider Directory

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1124309943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "410950128",
            "telephone_number": "859-567-2754",
            "fax_number": "859-567-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WEST MAIN STREET",
            "city": "WARSAW",
            "state": "KY",
            "postal_code": "41095",
            "telephone_number": "859-567-2754",
            "fax_number": "859-567-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARSAW FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "CORNETT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "859-567-2754"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.