Organization Active NPI

Florence Urgent Care

  • Urgent Care Clinic/Center
  • Florence, KY
National Provider Identifier
1396800256
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
34848 Issued in KY
Legal business name
FLORENCE URGENT CARE
Practice address
8820 Bankers St
Florence, KY 41042-4212
Phone
(859) 647-1918
Fax
(859) 647-7790
NPI assigned
Dec 22, 2006
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Dr. Asem Mohamed Zineddin, M.D.
Title
Medical Director
Phone
(859) 647-1918

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 34848 KY Primary
Family Nurse Practitioner 363LF0000X KY

Addresses

Primary practice location

8820 Bankers St
Florence, KY 41042-4212

Mailing address

8820 Bankers St
Florence, KY 41042-4212
Phone (859) 647-1918

Other identifiers 1

IdentifierTypeStateIssuer
65902280MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000382 KY Part B Supplier - Clinic/Group Practice 8527227685 Receives reassigned benefits from 3 practitioners
Practice locations: Florence, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0969714Florence Urgent Care8820 Bankers St, Florence, KY 41042Certificate of waiverJan 23, 2028

National Provider Directory

National Provider Directory

Locations

8820 Bankers St
Florence, KY 41042
Phone (859) 647-1918

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1396800256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 BANKERS ST",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424212",
            "telephone_number": "859-647-1918",
            "fax_number": "859-647-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 BANKERS ST",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424212",
            "telephone_number": "859-647-1918",
            "fax_number": "859-647-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "ZINEDDIN",
        "authorized_official_first_name": "ASEM",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "859-647-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "KY",
            "license": "34848",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65902280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.