R David Fant MD PSC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

R DAVID FANT MD PSC

Practice address

1407 North Race St
Glasgow, KY 42141

Phone

(270) 651-7736

Fax

(270) 651-9552

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. R David Fant, MD

Title

Owner

Phone

(270) 651-7736

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1396915468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421420517",
            "telephone_number": "270-651-7736",
            "fax_number": "270-651-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 NORTH RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42141",
            "telephone_number": "270-651-7736",
            "fax_number": "270-651-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DAVID FANT MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "FANT",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-651-7736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64191117",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Kaye Proffitt, APRN
• Psychiatric Wellness Associates
• Puckett Counseling Services
• Peggy Smith Puckett, LMFT
• Rhonda Brooks Quenzer, APRN, PMHNP
• Charles Edward Ramsey, D.M.D.
• Joshua Charles Ramsey, CRNA
• Mitta Ananth Reddy, MD
• Narasimha Reddy, M.D.
• Prathyusha Reddy, MD

• Pediatrics Physician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.