Organization Active NPI

Jenq-Sheng Liu M.D. Inc

  • Community Health Clinic/Center
  • South Williamson, KY
National Provider Identifier
1154572725
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
JENQ-SHENG LIU M.D. INC
Practice address
414 Central Ave
South Williamson, KY 41503-4121
Phone
(606) 237-1214
Fax
(606) 237-5819
NPI assigned
Oct 1, 2008
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Jenq Sheng Liu, M.D.
Title
President
Phone
(606) 237-1214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

414 Central Ave
South Williamson, KY 41503-4121

Mailing address

414 Central Ave
South Williamson, KY 41503-4121
Phone (606) 237-1214

Other identifiers 2

IdentifierTypeStateIssuer
0094347000MedicaidWV
64192487MedicaidKY

National Provider Directory

National Provider Directory

Locations

306 Hospital Dr
Ste 102
South Williamson, KY 41503
Phone (606) 237-1117

414 Central Ave
South Williamson, KY 41503
Phone (606) 237-1214

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1154572725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CENTRAL AVE",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034121",
            "telephone_number": "606-237-1214",
            "fax_number": "606-237-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CENTRAL AVE",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034121",
            "telephone_number": "606-237-1214",
            "fax_number": "606-237-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENQ-SHENG LIU M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JENQ",
        "authorized_official_middle_name": "SHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-237-1214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094347000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64192487",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.