Organization Active NPI

William Calvin Powell, MD PSC

  • Family Medicine Physician
  • Albany, KY
National Provider Identifier
1306946579
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILLIAM CALVIN POWELL, MD PSC
Practice address
106 N Cross St
Albany, KY 42602-1416
Phone
(606) 387-6631
Fax
(606) 387-8121
NPI assigned
Sep 25, 2006
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
William Calvin Powell, MDNPI 1427042407
Title
Owner/Physician
Phone
(606) 387-6631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

106 N Cross St
Albany, KY 42602-1416

Mailing address

106 N Cross St
Albany, KY 42602-1416
Phone (606) 387-6631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150630002962 KY Part B Supplier - Clinic/Group Practice 1153633359 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, KY

National Provider Directory

National Provider Directory

Locations

105 Foothills Ave
Albany, KY 42602
Phone (606) 387-6631

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1306946579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N CROSS ST",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021416",
            "telephone_number": "606-387-6631",
            "fax_number": "606-387-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N CROSS ST",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021416",
            "telephone_number": "606-387-6631",
            "fax_number": "606-387-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM CALVIN POWELL, MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "606-387-6631",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.