Stamping Ground Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20133 Issued in KY

Legal business name

STAMPING GROUND FAMILY CLINIC

Practice address

3501 Main Street
Stamping Ground, KY 40379-0179

Phone

(502) 535-5686

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cedric Craig, MD

Title

President

Phone

(502) 535-5686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386867190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "STAMPING GROUND",
            "state": "KY",
            "postal_code": "403790179",
            "telephone_number": "502-535-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MAIN STREET",
            "city": "STAMPING GROUND",
            "state": "KY",
            "postal_code": "403790179",
            "telephone_number": "502-535-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMPING GROUND FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-535-5686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "20133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lockard, APRN
• John T Lucas, CSA
• William Thomas Payne, OTR/L
• Ronadae Rhode, APRN
• Lori Seekford
• Wiiliam Edward Welsh, ATC

• Family Medicine Physician in Stamping Ground, KY
• Providers in Stamping Ground, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.