Organization Active NPI

Select Primary Care, PLLC

  • Internal Medicine Physician
  • Slade, KY
National Provider Identifier
1447758669
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SELECT PRIMARY CARE, PLLC
Practice address
1341 Natural Bridge Rd
Slade, KY 40376-9014
Phone
(606) 521-6298
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Ashley Sebastian
Title
Consultant
Phone
(859) 940-8576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1341 Natural Bridge Rd
Slade, KY 40376-9014

Mailing address

1341 Natural Bridge Rd
Slade, KY 40376-9014
Phone (606) 521-6298

National Provider Directory

National Provider Directory

Locations

1341 Natural Bridge Rd
Slade, KY 40376
Phone (606) 521-6298

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1447758669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 NATURAL BRIDGE RD",
            "city": "SLADE",
            "state": "KY",
            "postal_code": "403769014",
            "telephone_number": "606-521-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 NATURAL BRIDGE RD",
            "city": "SLADE",
            "state": "KY",
            "postal_code": "403769014",
            "telephone_number": "606-521-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "859-940-8576"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slade, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.