East Kentucky Medical Group PSC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EAST KENTUCKY MEDICAL GROUP PSC

Practice address

50 Weddington Branch Rd
Suite B
Pikeville, KY 41501-3296

Phone

(606) 432-2172

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lela C Maynard, MD

Title

President

Phone

(606) 432-2172

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lela C Johnson, M.D.

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1972505923
  NPD

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1417123647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WEDDINGTON BRANCH RD",
            "address_2": "SUITE B",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013296",
            "telephone_number": "606-432-2172",
            "fax_number": "606-433-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WEDDINGTON BRANCH RD",
            "address_2": "SUITE B",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013296",
            "telephone_number": "606-432-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST KENTUCKY MEDICAL GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "LELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-432-2172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78904711",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ear, Nose, Throat Physicians of Eastern Ky
• East Kentucky After Hours Clinic
• East Kentucky After Hours Clinic PLLC
• East Kentucky Eye Ear Nose and Thorat Specialists LLC
• East Kentucky Medical Associates
• East Kentucky Medical Group, PSC
• East Kentucky Oral & Maxillofacial Surgery, PSC
• East Ky Pulmonary & Associates
• Jaden Keleigh Easterling, RBT
• Eastern Kentucky Emergency Physicians, LLC

• All providers in Pikeville, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.