Ellen Webb MD PLLC

Key facts

NPI

1225200736

Entity type

Organization (NPI type 2)

Primary specialty

Family Medicine Physician 207Q00000X

License

24998 (KY)

Legal business name

ELLEN WEBB MD PLLC

Practice address

220 Frankfort St
Suite 2
Versailles, KY 40383-1079

Phone

(859) 873-0905

Fax

(859) 873-1025

NPI assigned

Mar 25, 2008

Organization subpart

No

Authorized official

Name

Dr. Ellen D. Webb, M.D. NPI 1285610535

Title

Owner/M.D.

Phone

(859) 873-0905

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

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ellen Webb, M.D. PLLC Primary Care Clinic/Center · Versailles, KY · NPI 1184880239
  NPD tax ID

Practitioners 1

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

• Ellen Divas Webb, MD Family Medicine Physician · Versailles, KY · NPI 1285610535
  Medicare reassignment NPD Authorized official FAMILY MEDICINE · KY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Medicare enrollment records

National Provider Directory

Tax ID family

Ellen Webb MD PLLC (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 21, 2009.

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1225200736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FRANKFORT ST",
            "address_2": "SUITE 2",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831079",
            "telephone_number": "859-873-0905",
            "fax_number": "859-873-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FRANKFORT ST",
            "address_2": "SUITE 2",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831079",
            "telephone_number": "859-873-0905",
            "fax_number": "859-873-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN WEBB MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "859-873-0905",
        "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": "24998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

• Dr Richard Drayer, Optometrist
• Richard Drayer, O.D.
• Chastity Gwen Drobena, FNP-C
• Eric Edwards
• Taylor Edwards
• Ellen Webb, M.D. PLLC
• Elvidge & Lasheen, DMD,PSC
• Everhart-Harmon Counseling Services
• Paula L Everhart, LCSW
• Brittney Fairbourn

All providers in Versailles, KY · Family Medicine Physician in Kentucky