NPIMap

Organization Active NPI

Paris Family Physicians PLLC

  • Family Medicine Physician
  • Paris, KY
National Provider Identifier
1366736399
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34918 Issued in KY
Legal business name
PARIS FAMILY PHYSICIANS PLLC
Practice address
8 Linville Dr
Suite a
Paris, KY 40361-2128
Phone
(859) 987-3577
Fax
(859) 987-3593
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Jeffrey Green, MDNPI 1114031937
Title
Owner
Phone
(859) 707-6010

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 34918 KY Primary

Addresses

Primary practice location

8 Linville Dr
Suite a
Paris, KY 40361-2128

Mailing address

8 Linville Dr
Suite a
Paris, KY 40361-2128
Phone (859) 987-3577

Other identifiers 2

IdentifierTypeStateIssuer
7100175840MedicaidKY
000000727376OtherKYANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110907000949 KY Part B Supplier - Clinic/Group Practice 8729258462 Receives reassigned benefits from 2 practitioners
Practice locations: Paris, KY

National Provider Directory

National Provider Directory

Locations

300 Commerce Dr
Paris, KY 40361
Phone (859) 987-3577

Practitioners & affiliated clinicians

Practitioners 2

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": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1366736399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LINVILLE DR",
            "address_2": "SUITE A",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612128",
            "telephone_number": "859-987-3577",
            "fax_number": "859-987-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LINVILLE DR",
            "address_2": "SUITE A",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612128",
            "telephone_number": "859-987-3577",
            "fax_number": "859-987-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS FAMILY PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-707-6010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100175840",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000727376",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.