Kentucky Accident & Injury Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KENTUCKY ACCIDENT & INJURY CARE PLLC

Practice address

504 North Hwy 27
Somerset, KY 42503-5706

Phone

(606) 667-0101

NPI assigned

May 4, 2020

Last updated

May 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry L Oteham, DONPI 1700852639

Title

Owner/Provider

Phone

(606) 667-0101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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.

• Larry L. Oteham, D.O.

  • Family Medicine Physician
  • Somerset, KY
  • NPI 1700852639
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1457972283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LAKE DRIVE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377665706",
            "telephone_number": "901-230-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 NORTH HWY 27",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425035706",
            "telephone_number": "606-667-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY ACCIDENT & INJURY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "OTEHAM",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "606-667-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Kelly, APRN
• Harry R Kennedy, M.D.
• James Thomas Kennett, PA-C
• Kenney Orthopedic, LLC
• Kentuckiana Hearing Service LLC (Somerset/Kentuckiana Hearing)
• Kentucky Cardiothoracic Surgical Associates
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy# 06339)
• Kentucky Diagnostic Ultrasound, LLC
• Kentucky Family Care PSC
• Kentucky Physical Therapy Services of Somerset, LLC (Kentucky Physical Therapy Services of Somerset)

• Family Medicine Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.