NPIMap

Organization Active NPI

Arvin Family Practice P.S.C.

  • General Practice Physician
  • Mount Vernon, KY
National Provider Identifier
1407071954
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
33743 Issued in KY
Legal business name
ARVIN FAMILY PRACTICE P.S.C.
Practice address
185 Newcomb Ave
Mount Vernon, KY 40456-2733
Phone
(606) 256-2143
Fax
(606) 256-9762
NPI assigned
Apr 17, 2007
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Jon Anthony Arvin, M.D.NPI 1285675892
Title
Physician
Phone
(606) 256-2143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 33743 KY Primary

Addresses

Primary practice location

185 Newcomb Ave
Mount Vernon, KY 40456-2733

Mailing address

185 Newcomb Ave
Mount Vernon, KY 40456-2733
Phone (606) 256-2143

Other identifiers 2

IdentifierTypeStateIssuer
65905895MedicaidKY
64337439MedicaidKY

Other names 1

  • Jon Anthony Arvin M.D. Other name

National Provider Directory

National Provider Directory

Locations

185 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2143

Practitioners & affiliated clinicians

Practitioners 1

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1407071954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562733",
            "telephone_number": "606-256-2143",
            "fax_number": "606-256-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562733",
            "telephone_number": "606-256-2143",
            "fax_number": "606-256-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVIN FAMILY PRACTICE P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "ARVIN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-256-2143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "33743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65905895",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64337439",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jon Anthony Arvin M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Vernon, KY

Sources for this page

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

Verify at the official NPI Registry.