C. Michael Littlejohn, MD, PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30506 Issued in KY

Legal business name

C. MICHAEL LITTLEJOHN, MD, PSC

Practice address

1100 S Jefferson St
Princeton, KY 42445-2379

Phone

(270) 365-3343

Fax

(270) 365-4467

NPI assigned

Sep 26, 2006

Last updated

Nov 7, 2010By 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. Charles Michael Littlejohn, MDNPI 1831202738

Title

Physician

Phone

(270) 365-3343

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Charles Michael Littlejohn, MD

  • Internal Medicine Physician
  • Princeton, KY
  • NPI 1831202738
  Authorized official Same address or phone

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289088000000",
    "number": "1487755740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S JEFFERSON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452379",
            "telephone_number": "270-365-3343",
            "fax_number": "270-365-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S JEFFERSON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452379",
            "telephone_number": "270-365-3343",
            "fax_number": "270-365-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. MICHAEL LITTLEJOHN, MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-11-07",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "270-365-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "30506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64305063",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Princeton, KY
• Providers in Princeton, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; 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.