Clark Regional Physician Practices LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CLARK REGIONAL PHYSICIAN PRACTICES LLC

Doing business as

Clark Cardiology

Practice address

225 Hospital Dr
Suite 300a
Winchester, KY 40391-7676

Phone

(859) 737-6555

Fax

(859) 737-6650

NPI assigned

Jun 5, 2013

Last updated

Sep 27, 2017By 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

Sara Miller

Title

Director

Phone

(615) 202-9581

Specialties & licenses 2

Addresses

Other names 1

• Clark Cardiology Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Clark Regional Physician Practices LLC

  dba Winchester General Surgery

  • Surgery Physician
  • Winchester, KY
  • NPI 1073864559

  O20120919000575

  Same enrollment
• Clark Regional Physician Practices LLC

  dba Clark Regional Family Practice

  • Family Medicine Physician
  • Winchester, KY
  • NPI 1114360583

  O20120919000575

  Same enrollment
• Clark Regional Physician Practices LLC

  dba Clark Digestive Care Center

  • Gastroenterology Physician
  • Winchester, KY
  • NPI 1144663220

  O20120919000575

  Same enrollment
• Clark Regional Physician Practices LLC

  dba Centerpoint Family Medicine - Mt. Sterling

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1780356253

  O20120919000575

  Same enrollment
• Clark Regional Physician Practices LLC

  dba Centerpoint Family Medicine - Winchester Boonesboro Road

  • Rural Health Clinic/Center
  • Winchester, KY
  • NPI 1831852771

  O20120919000575

  Same enrollment
• Clark Regional Physician Practices LLC

  dba Centerpoint Primary Care - Winchester

  • Rural Health Clinic/Center
  • Winchester, KY
  • NPI 1841953783

  O20120919000575

  Same enrollment
• Clark Regional Physician Practices, LLC

  dba Centerpoint Podiatry - Winchester

  • Durable Medical Equipment & Medical Supplies
  • Winchester, KY
  • NPI 1114282605

  O20120919000575

  Same enrollment

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1508204223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7905",
            "fax_number": "615-920-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "address_2": "SUITE 300A",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917676",
            "telephone_number": "859-737-6555",
            "fax_number": "859-737-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK REGIONAL PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-202-9581"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clark Regional Medical Center, Inc.
• Clark Regional Physician Practices LLC (Winchester General Surgery)
• Clark Regional Physician Practices LLC (Clark Regional Family Practice)
• Clark Regional Physician Practices LLC (Clark Digestive Care Center)
• Clark Regional Physician Practices LLC (Centerpoint Medical Group Winchester)
• Clark Regional Physician Practices LLC (Clark Digestive Care Center)
• Clark Regional Physician Practices LLC (Centerpoint Family Medicine - Winchester Boonesboro Road)
• Clark Regional Physician Practices LLC (Centerpoint Primary Care - Winchester)
• Clark Regional Physician Practices, LLC (Centerpoint Podiatry - Winchester)
• Casey Lane Clark

• Cardiovascular Disease Physician in Winchester, KY
• Providers in Winchester, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.