Organization Active NPI

Our Lady of the Way Hospital, Inc

  • Family Medicine Physician
  • Martin, KY
National Provider Identifier
1255357364
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OUR LADY OF THE WAY HOSPITAL, INC
Doing business as
Our Lady of the Way Hospital, INC
Practice address
11203 Main Street
Martin, KY 41649-0910
Phone
(606) 285-6400
Fax
(606) 285-6629
NPI assigned
Jul 14, 2006
Last updated
May 15, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
OUR LADY OF THE WAY HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Mrs. Kathy Stumbo
Title
Ceo
Phone
(606) 285-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Certified Registered Nurse Anesthetist 367500000X NU

Addresses

Primary practice location

11203 Main Street
Martin, KY 41649-0910

Mailing address

P.O Box 910
Martin, KY 41649-0910
Phone (606) 285-6400

Other identifiers 1

IdentifierTypeStateIssuer
65927568MedicaidKY

Other names 1

  • Our Lady of the Way Hospital, INC Doing business as

National Provider Directory

National Provider Directory
Part of
Saint Joseph Hospital

Locations

11087 Main St
Martin, KY 41649
Phone (606) 285-3690

1403 Ky Rte 302
Ste 306
Wheelwright, KY 41669
Phone (606) 452-2300

1403 Ky Rte 306 Ste 102
Ste 102
Wheelwright, KY 41669
Phone (606) 452-2300

1403 Ky Rte 306 Ste 102
Ste 102
Wheelwright, KY 41669
Phone (606) 452-2300

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1255357364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 910",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416490910",
            "telephone_number": "606-285-6400",
            "fax_number": "606-285-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 MAIN STREET",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416490910",
            "telephone_number": "606-285-6400",
            "fax_number": "606-285-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE WAY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF THE WAY HOSPITAL, INC",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "STUMBO",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-285-6400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65927568",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Lady of the Way Hospital, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.