Active NPI
Mdsrus Limited Liability Company
- Family Medicine Physician
- Barbourville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MDSRUS LIMITED LIABILITY COMPANY
- Practice address
- 1927 S US Highway 25E
Barbourville, KY 40906-7600 - Phone
- (606) 546-7777
- NPI assigned
- Jun 5, 2019
- Last updated
- May 18, 2023
- 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
- Gina Good, APRN
- Title
- Owner
- Phone
- (606) 546-7777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1927 S US Highway 25E
Barbourville, KY 40906-7600
Mailing address
PO Box 1535
Barbourville, KY 40906-5535
Phone (606) 546-7777
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2173513 | Mdsrus Limited Liability Company | Certificate of waiver | Oct 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Barbourville, KY
- NPI 1831167584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1144888959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1535",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409065535",
"telephone_number": "606-546-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 S US HIGHWAY 25E",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409067600",
"telephone_number": "606-546-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDSRUS LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-05",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "GOOD",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-546-7777",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.