Mark a Abramovich MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23691 Issued in KY

Legal business name

MARK A ABRAMOVICH MD

Practice address

300 W John Fitch Ave
Ste 210
Bardstown, KY 40004-1150

Phone

(502) 348-7648

Fax

(502) 348-7490

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Abramovich, MD

Title

MD/Owner

Phone

(502) 348-7648

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mark A Abram MD Former legal business name

Tax ID family

Mark a Abramovich MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mark a. Abramovich, MD

  • Family Nurse Practitioner
  • Bardstown, KY
  • NPI 1336388628
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mark a. Abramovich, MD

  • Family Nurse Practitioner
  • Bardstown, KY
  • NPI 1336388628
  NPPES parent name

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1487825519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W JOHN FITCH AVE",
            "address_2": "STE 210",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041150",
            "telephone_number": "502-348-7648",
            "fax_number": "502-348-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W JOHN FITCH AVE",
            "address_2": "STE 210",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041150",
            "telephone_number": "502-348-7648",
            "fax_number": "502-348-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A ABRAMOVICH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "ABRAMOVICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "502-348-7648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "23691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64236912",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A Abram MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda Marie Maier, MSOTR/L, CLT
• Dakota Makatche, DMD
• Raza Ali Malik, M.D.
• Kasey Lynn Manning, OD
• Katy Leanne Marcum, APRN
• Mark a. Abramovich, MD
• Terry Kevyn Marmon II, DC
• Marosian Medical, PLLC
• Jessica Marshall, D.O.
• Ashlynn Elaine Masterson

• Family Medicine Physician in Bardstown, KY
• Providers in Bardstown, 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 Oct 1, 2009; 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.