Active NPI
Medical Services of Kentucky, PSC
- Physician Assistant
- Paintsville, KY
National Provider Identifier
1376693788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- MEDICAL SERVICES OF KENTUCKY, PSC
- Practice address
- 625 James Trimble Blvd
Paintsville, KY 41240-1055 - Phone
- (606) 789-3511
- NPI assigned
- Jan 11, 2007
- Last updated
- Jun 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent Morra
- Title
- President and Ceo
- Phone
- (800) 377-8721
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary | |
| Emergency Medicine Physician | 207P00000X | NU |
Addresses
Primary practice location
625 James Trimble Blvd
Paintsville, KY 41240-1055
Mailing address
PO Box 2078
Huntington, WV 25720-2078
Phone (800) 377-8721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95900957 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Medical Services of Kentucky PSC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physician Assistant
- Louisa, KY
- NPI 1003966755
-
- Physician Assistant
- Ashland, KY
- NPI 1912103136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1376693788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2078",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257202078",
"telephone_number": "800-377-8721",
"fax_number": "304-523-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 JAMES TRIMBLE BLVD",
"city": "PAINTSVILLE",
"state": "KY",
"postal_code": "412401055",
"telephone_number": "606-789-3511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SERVICES OF KENTUCKY, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "MORRA",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "800-377-8721"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95900957",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paintsville, KY
- Katherine Marie Meade
- Med Express Pharmacy LLC
- Medical Associates of East Kentucky, PLLC
- Medical Imaging Group, LLC
- Medical Services of America Inc (Medi Home Care)
- Rose E Meek
- Robert R Miller, DPM
- Minix Eye Care PSC
- Minix Eye Clinic, Inc. (Minix One Hour Optical, Inc.)
- Molecular Imaging of Eastern Kentucky, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.