Organization Active NPI

The Village Doctor, LLC

  • Family Medicine Physician
  • Hazard, KY
National Provider Identifier
1154516045
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33268 Issued in KY
Legal business name
THE VILLAGE DOCTOR, LLC
Practice address
3 Sterling LN
Hazard, KY 41701-9450
Phone
(606) 439-1030
Fax
(606) 439-1035
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. Karen A Kimsey, M.D.NPI 1538227228
Title
Owner
Phone
(606) 439-1030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 33268 KY Primary

Addresses

Primary practice location

3 Sterling LN
Hazard, KY 41701-9450

Mailing address

3 Sterling LN
Hazard, KY 41701-9450
Phone (606) 439-1030

Other identifiers 2

IdentifierTypeStateIssuer
65944001MedicaidKY
1538227228OtherNPI

National Provider Directory

National Provider Directory

Locations

3 Sterling Ln
Hazard, KY 41701
Phone (606) 439-1030

Practitioners & affiliated clinicians

Practitioners 1

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": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1154516045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STERLING LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019450",
            "telephone_number": "606-439-1030",
            "fax_number": "606-439-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STERLING LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019450",
            "telephone_number": "606-439-1030",
            "fax_number": "606-439-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "KIMSEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-439-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "33268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65944001",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538227228",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.