NPIMap

Organization Active NPI

Jayalakshmi Pampati MD PSC

  • Multi-Specialty Clinic/Center
  • Hazard, KY
National Provider Identifier
1386849206
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
JAYALAKSHMI PAMPATI MD PSC
Practice address
1908 N Main St
Hazard, KY 41701-2505
Phone
(606) 439-2662
Fax
(606) 439-0612
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Jayalakshmi Pampati, MD
Title
Owner
Phone
(606) 439-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1908 N Main St
Hazard, KY 41701-2505

Mailing address

PO Box 697
Hazard, KY 41702-0697
Phone (606) 439-2662

Other identifiers 1

IdentifierTypeStateIssuer
65936015MedicaidKY

National Provider Directory

National Provider Directory

Locations

1908 N Main St
Ste 230
Hazard, KY 41701
Phone (606) 435-2961

Practitioners & affiliated clinicians

Practitioners 5

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1386849206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020697",
            "telephone_number": "606-439-2662",
            "fax_number": "606-439-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012505",
            "telephone_number": "606-439-2662",
            "fax_number": "606-439-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYALAKSHMI PAMPATI MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "PAMPATI",
        "authorized_official_first_name": "JAYALAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-439-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65936015",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.