Organization Active NPI

NG Prof MGMT Solutions, LLC

  • Internal Medicine Physician
  • Owensboro, KY
National Provider Identifier
1497023642
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39797 Issued in KY
Legal business name
NG PROF MGMT SOLUTIONS, LLC
Practice address
2816 Veach Rd
Ste 306
Owensboro, KY 42303-6295
Phone
(270) 240-5696
Fax
(270) 240-5697
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. Nityanand D Gupta, MD
Title
Owner / President
Phone
(270) 240-5696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 39797 KY Primary

Addresses

Primary practice location

2816 Veach Rd
Ste 306
Owensboro, KY 42303-6295

Mailing address

2816 Veach Rd
Ste 306
Owensboro, KY 42303-6295
Phone (270) 240-5696

Other names 1

  • NITYANAND D GUPTA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1497023642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 VEACH RD",
            "address_2": "STE 306",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036295",
            "telephone_number": "270-240-5696",
            "fax_number": "270-240-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 VEACH RD",
            "address_2": "STE 306",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036295",
            "telephone_number": "270-240-5696",
            "fax_number": "270-240-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NG PROF MGMT SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NITYANAND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "270-240-5696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "39797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NITYANAND D GUPTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.