Wolfe County Clinics

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

WOLFE COUNTY CLINICS

Doing business as

Jackson Cardiology and Primary Care

Practice address

1389 Highway 15 N
Jackson, KY 41339-7015

Phone

(606) 668-3925

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Syed Atif Aftab Ali

Title

Practice Manager

Phone

(606) 668-6932

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jackson Cardiology and Primary Care Doing business as

Locations

Practitioners 3

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

• Muhammad Ahmad, MD

  • Interventional Cardiology Physician
  • Lexington, KY
  • NPI 1801888953

  Cardiovascular Disease

  NPD (past)
• Nadeem Shaikh, M.D.

  • Internal Medicine Physician
  • Campton, KY
  • NPI 1447221957
  NPD (past)
• Arif Omar, M.D.

  • Cardiovascular Disease Physician
  • Clarksburg, WV
  • NPI 1760448039
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1336375294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 HIGHWAY 15 N",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413397015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 HIGHWAY 15 N",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413397015",
            "telephone_number": "606-668-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE COUNTY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ATIF AFTAB",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "606-668-6932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65943359",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Cardiology and Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos White
• Leo White
• Tiffany Ann White, FNP-BC
• Edna Elizabeth Williams, APRN
• Jessica Williams
• Dreama Wooton, CDDC,LPCC
• Roger Carl Worthington, D.M.D.
• Daniel Brent Yarbrough
• Clemente V. Zulueta Jr., MD

• Cardiovascular Disease Physician in Jackson, KY
• Providers in Jackson, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.