NPIMap

Organization Active NPI

Commonwealth Medical Care, LLC

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1427583178
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMONWEALTH MEDICAL CARE, LLC
Practice address
989 Governors LN
Suite 220
Lexington, KY 40513-1173
Phone
(859) 338-3958
Fax
(859) 368-8135
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Matt Beavin
Title
Owner
Phone
(859) 338-3958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

989 Governors LN
Suite 220
Lexington, KY 40513-1173

Mailing address

989 Governors LN
Suite 240
Lexington, KY 40513-1173
Phone (859) 338-3958

National Provider Directory

National Provider Directory

Locations

989 Governors Ln
Ste 240
Lexington, KY 40513

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1427583178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN",
            "address_2": "SUITE 240",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131173",
            "telephone_number": "859-338-3958",
            "fax_number": "859-368-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN",
            "address_2": "SUITE 220",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131173",
            "telephone_number": "859-338-3958",
            "fax_number": "859-368-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "BEAVIN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-338-3958"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.