Bardstown Internal Medicine, PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37944 Issued in KY

Legal business name

BARDSTOWN INTERNAL MEDICINE, PSC

Practice address

810 Morton Ave Ste 202
Bardstown, KY 40004-2549

Phone

(502) 348-1990

Fax

(502) 348-1954

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Meece

Title

Office Manager

Phone

(502) 348-1990

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1306043401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MORTON AVE STE 202",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042549",
            "telephone_number": "502-348-1990",
            "fax_number": "502-348-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MORTON AVE STE 202",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042549",
            "telephone_number": "502-348-1990",
            "fax_number": "502-348-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDSTOWN INTERNAL MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MEECE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-348-1990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF7461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bardstown Independent Schools
• Bardstown Medical Investors Limited
• Bardstown on Call Dental
• Bardstown Pharmacy Services, LLC
• Bardstown Primary Care, PLLC
• Bardstown Total Health Care Corp

• Internal Medicine Physician in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.