Organization Active NPI

Carrollton Internal Medicine PSC

  • Internal Medicine Physician
  • Carrollton, KY
National Provider Identifier
1447446406
Registry record updated Sep 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARROLLTON INTERNAL MEDICINE PSC
Practice address
307 11TH St
Carrollton, KY 41008-1435
Phone
(502) 732-9922
Fax
(502) 732-9050
NPI assigned
Sep 23, 2007
Last updated
Sep 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2007

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

Authorized official

Name
Sheree Lynn Phelps, CPC
Title
Office Manager
Phone
(502) 525-2168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

307 11TH St
Carrollton, KY 41008-1435

Mailing address

PO Box 266
Carrollton, KY 41008-0266
Phone (502) 732-9922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190505600000",
    "number": "1447446406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410080266",
            "telephone_number": "502-732-9922",
            "fax_number": "502-732-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410081435",
            "telephone_number": "502-732-9922",
            "fax_number": "502-732-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON INTERNAL MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-23",
        "last_updated": "2007-09-23",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-525-2168",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2007; 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.