Family Medical Specialty Clinic D.B.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAMILY MEDICAL SPECIALTY CLINIC D.B.A.

Doing business as

Saint Mark's Family and Specialty Clinic

Practice address

95 Jackson HTS
Jackson, KY 41339-6500

Phone

(606) 693-0199

Fax

(606) 693-0299

NPI assigned

Dec 14, 2006

Last updated

Apr 15, 2008By 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

June Abadilla, M.D.NPI 1811975683

Title

Partner

Phone

(606) 666-7040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAINT MARK'S FAMILY AND SPECIALTY CLINIC Doing business as

Locations

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.

• June Elizabeth Abadilla

  • Internal Medicine Physician
  • Jackson, KY
  • NPI 1811975683
  NPD Authorized official
• Dahlia H McKinney, M.D.

  • Hospitalist Physician
  • Bessemer, AL
  • NPI 1609849033
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1497817944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JACKSON HTS",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413396500",
            "telephone_number": "606-666-7040",
            "fax_number": "606-666-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 JACKSON HTS",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413396500",
            "telephone_number": "606-693-0199",
            "fax_number": "606-693-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL SPECIALTY CLINIC D.B.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ABADILLA",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "606-666-7040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31000904",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAINT MARK'S FAMILY AND SPECIALTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerrica Duty, APRN
• Mary Elizabeth Eldridge, PA-C
• Beverly Dawn Ellis, APRN
• Tara Epperson, LCSW
• Eyemart Family Vision Care Inc (Eye Mart)
• Family Medical Specialty Clinic PLLC
• Flying Eye PLLC (Kentucky Eye Center)
• Rebecca Lynn Fryman
• Brittany Moore Fugate, D.O.
• Gaddis Chiropractic Center PLLC

• Internal Medicine Physician in Jackson, KY
• Providers in Jackson, 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 Apr 15, 2008; 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.