Active NPI
Our Lady of the Way Hospital, Inc
- Family Medicine Physician
- Martin, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2009
- Organization subpart
- Yes
- Parent organization
- OUR LADY OF THE WAY HOSPITAL, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65927568 | Medicaid | KY |
Other names 1
- Our Lady of the Way Hospital, INC
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.
-
- Family Nurse Practitioner
- Owingsville, KY
- NPI 1740681766
-
- Specialist
- Hazard, KY
- NPI 1891766101
-
- Pediatrics Physician
- Pikeville, KY
- NPI 1104816982
-
- Family Medicine Physician
- Martin, KY
- NPI 1164662508
-
- Emergency Medicine Physician
- Manchester, KY
- NPI 1902852049
-
- Physician Assistant
- Pikeville, KY
- NPI 1184688855
-
- Surgery Physician
- Pikeville, KY
- NPI 1386640670
-
- Family Medicine Physician
- Louisa, KY
- NPI 1184685703
-
- Surgery Physician
- Hazard, KY
- NPI 1285626879
-
- General Practice Physician
- Pikeville, KY
- NPI 1144306531
-
- Clinical Psychologist
- Lexington, KY
- NPI 1669573770
-
- Physician Assistant
- Martin, KY
- NPI 1255394912
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.