Active NPI
Mark a. Abramovich, MD
- Family Nurse Practitioner
- Bardstown, KY
National Provider Identifier
1336388628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5838P
- 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, MD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
National Provider Directory
National Provider Directory- Tax ID family
- Mark a Abramovich MD
- 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.
-
- Family Medicine Physician
- Bardstown, KY
- NPI 1487825519
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.
-
- Family Medicine Physician
- Bardstown, KY
- NPI 1487825519
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.