Organization Active NPI

Physicians Affiliated Care P.S.C.

  • Ambulatory Surgical Clinic/Center
  • Owensboro, KY
National Provider Identifier
1235165606
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PHYSICIANS AFFILIATED CARE P.S.C.
Doing business as
Gastrointestinal Endoscopy Center of Owensboro
Practice address
2200 E Parrish Ave
Building a
Owensboro, KY 42303-1449
Phone
(270) 926-2273
Fax
(270) 926-5200
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Ms. Jennifer Boarman
Title
Billing Manager
Phone
(270) 926-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2200 E Parrish Ave
Building a
Owensboro, KY 42303-1449

Mailing address

PO Box 1919
Owensboro, KY 42302-1919
Phone (270) 926-2273

Other identifiers 3

IdentifierTypeStateIssuer
000000333384OtherKYANTHEM BC/BS
200491020AMedicaidIN
36001345MedicaidKY

Other names 1

  • Gastrointestinal Endoscopy Center of Owensboro Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1235165606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1919",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021919",
            "telephone_number": "270-926-2273",
            "fax_number": "270-926-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BUILDING A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-926-2273",
            "fax_number": "270-926-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS AFFILIATED CARE P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "BOARMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "270-926-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000333384",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491020A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36001345",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastrointestinal Endoscopy Center of Owensboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.