Scott County Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37079 Issued in KY

Legal business name

SCOTT COUNTY FAMILY PRACTICE PLLC

Practice address

1140 Lexington Rd
Suite 200
Georgetown, KY 40324-9330

Phone

(502) 863-4485

Fax

(502) 863-4487

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Padma Rao, MDNPI 1629098033

Title

Sole Owner

Phone

(502) 863-4485

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Padma Ganta Rao, M.D.

  • Family Medicine Physician
  • Georgetown, KY
  • NPI 1629098033
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1275707192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-4485",
            "fax_number": "502-863-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-863-4485",
            "fax_number": "502-863-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COUNTY FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "PADMA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "502-863-4485",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Thomas Scalf, DMD
• Brenna Rose Schuller, PHARMD, RPH
• Lauren Ashley Scollin, DPT
• Scott County Drug, PLLC
• Scott County Family Physicians
• Scott County Physical Therapy, LLC
• Scott County Schools
• Catherine Alexandra Sefcovic, PT, DPT
• Jessica N. Seiler, MS, ATC, LAT
• Madison Sellman, DMD

• Family Medicine Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.