Bluegrass Family Walk-in Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUEGRASS FAMILY WALK-IN CLINIC LLC

Practice address

140 Adams LN Ste 600-700
Pikeville, KY 41501-3087

Phone

(606) 509-2000

NPI assigned

Nov 6, 2018

Last updated

Nov 6, 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

Dr. Chadward Lee Thacker, MDNPI 1801811542

Title

Owner

Phone

(606) 509-2000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chadward Thacker, MD

  • Family Medicine Physician
  • Pikeville, KY
  • NPI 1801811542
  Authorized official Same address or phone

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1124596341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415021228",
            "telephone_number": "606-509-2000",
            "fax_number": "606-509-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ADAMS LN STE 600-700",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013087",
            "telephone_number": "606-509-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS FAMILY WALK-IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "CHADWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-509-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Blackburn, MSN, APRN, NP-C
• Jessica Blair, RN
• Andrea P Blankenship, PA-C
• Melissa Blankenship, RN
• Walter Blevins Jr., DMD
• Bluegrass Oxygen Inc
• Alisha Bolen, APRN
• Kelly Cahill Bollard
• Amy K. Bolling, NP
• Mary Kathleen Booten, FNP-BC

• Family Medicine Physician in Pikeville, KY
• Providers in Pikeville, 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 Nov 6, 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.