NPIMap

Organization Active NPI

Physicians Affiliated Care, PSC

Doing business as CarePointe Walkin Clinic

  • Family Medicine Physician
  • Owensboro, KY
National Provider Identifier
1275077786
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48529 Issued in KY
Legal business name
PHYSICIANS AFFILIATED CARE, PSC
Doing business as
CarePointe Walkin Clinic
Practice address
2710 Heartland Crossings, Suite B
Owensboro, KY 42303
Phone
(270) 926-3774
Fax
(270) 926-5200
NPI assigned
Dec 19, 2016
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48529 KY Primary

Addresses

Primary practice location

2710 Heartland Crossings, Suite B
Owensboro, KY 42303

Mailing address

2200 E Parrish Ave BLDG a
Owensboro, KY 42303-1453
Phone (270) 926-2273

Other names 1

  • CarePointe Walkin Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000008 KY Part B Supplier - Clinic/Group Practice 7517868235 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Owensboro, KY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1030 Burlew Blvd
Ste A
Owensboro, KY 42303
Phone (270) 926-2273

2710 Heartland Crossing Blvd
Ste B
Owensboro, KY 42303
Phone (270) 926-3774

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1275077786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE BLDG A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031453",
            "telephone_number": "270-926-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HEARTLAND CROSSINGS, SUITE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-926-3774",
            "fax_number": "270-926-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS AFFILIATED CARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "48529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePointe Walkin Clinic",
            "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 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.