Organization Active NPI

Mark a. Abramovich, MD

  • Family Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1336388628
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5838P Issued in KY
Legal business name
MARK A. ABRAMOVICH, MD
Practice address
300 W John Fitch Ave
Ste. 210
Bardstown, KY 40004-1150
Phone
(502) 348-7648
Fax
(502) 348-7490
NPI assigned
Feb 11, 2009
Organization subpart
Yes
Parent organization
MARK A. ABRAMOVICH, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Mark A Abramovich, M.D.
Title
Physician / Owner
Phone
(502) 348-7648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 5838P KY Primary

Addresses

Primary practice location

300 W John Fitch Ave
Ste. 210
Bardstown, KY 40004-1150

Mailing address

300 W John Fitch Ave
Ste. 210
Bardstown, KY 40004-1150
Phone (502) 348-7648

Other names 1

  • Mark A. Abram, MD Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Mark a Abramovich MD2 organizations share this tax ID, including this one
Part of
Mark a Abramovich MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 W John Fitch Ave
Ste 210
Bardstown, KY 40004
Phone (502) 348-7648

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1336388628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W JOHN FITCH AVE",
            "address_2": "STE. 210",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041150",
            "telephone_number": "502-348-7648",
            "fax_number": "502-348-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W JOHN FITCH AVE",
            "address_2": "STE. 210",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041150",
            "telephone_number": "502-348-7648",
            "fax_number": "502-348-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. ABRAMOVICH, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARK A. ABRAMOVICH, MD",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "ABRAMOVICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "502-348-7648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5838P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A. Abram, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.