NPIMap

Organization Active NPI

Woodford Family Physicians, PSC

  • Family Medicine Physician
  • Versailles, KY
National Provider Identifier
1356490338
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WOODFORD FAMILY PHYSICIANS, PSC
Practice address
360 Amsden Ave
Suite 202
Versailles, KY 40383-1851
Phone
(859) 873-9188
Fax
(859) 873-0870
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Dr. Robby Keith Hutchinson Jr., M.D.NPI 1750383204
Title
President
Phone
(859) 873-9188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

360 Amsden Ave
Suite 202
Versailles, KY 40383-1851

Mailing address

PO Box 49
Versailles, KY 40383-0049
Phone (859) 873-9188

Other identifiers 1

IdentifierTypeStateIssuer
65933640MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1356490338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403830049",
            "telephone_number": "859-873-9188",
            "fax_number": "859-873-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 AMSDEN AVE",
            "address_2": "SUITE 202",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831851",
            "telephone_number": "859-873-9188",
            "fax_number": "859-873-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFORD FAMILY PHYSICIANS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-873-9188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.