Organization Active NPI

Town Family Doctor, PLLC

  • Primary Care Clinic/Center
  • Prospect, KY
National Provider Identifier
1477718625
Registry record updated Jul 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
40638 Issued in KY
Legal business name
TOWN FAMILY DOCTOR, PLLC
Practice address
9501 Norton Commons Blvd
Unit B
Prospect, KY 40059-7522
Phone
(502) 618-2472
Fax
(502) 618-2479
NPI assigned
Jul 26, 2008
Last updated
Jul 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2009

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

Authorized official

Name
Dr. Vedad Seremet, M.D.NPI 1467593418
Title
President
Phone
(502) 618-2472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 40638 KY Primary

Addresses

Primary practice location

9501 Norton Commons Blvd
Unit B
Prospect, KY 40059-7522

Mailing address

9501 Norton Commons Blvd
Unit B
Prospect, KY 40059-7522
Phone (502) 618-2472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090828000032 KY Part B Supplier - Clinic/Group Practice 6709931694 Receives reassigned benefits from 2 practitioners
Practice locations: Prospect, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1087925Town Family Doctor, PLLC9501 Norton Commons Blvd, Prospect, KY 40059Certificate of waiverApr 1, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247961600000",
    "number": "1477718625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 NORTON COMMONS BLVD",
            "address_2": "UNIT B",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597522",
            "telephone_number": "502-618-2472",
            "fax_number": "502-618-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 NORTON COMMONS BLVD",
            "address_2": "UNIT B",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597522",
            "telephone_number": "502-618-2472",
            "fax_number": "502-618-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN FAMILY DOCTOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-26",
        "last_updated": "2009-07-19",
        "status": "A",
        "authorized_official_last_name": "SEREMET",
        "authorized_official_first_name": "VEDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-618-2472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "40638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.