Buffalo Trace Gastroenterology PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

34725 Issued in KY

Legal business name

BUFFALO TRACE GASTROENTEROLOGY PLLC

Practice address

991 Medical Park Dr Ste 203
Maysville, KY 41056-8728

Phone

(606) 759-5157

Fax

(606) 759-5582

NPI assigned

Aug 20, 2006

Last updated

Apr 2, 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

Ms. Kami Jarrells

Title

Practice Manager

Phone

(606) 759-4869

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1508971722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR STE 203",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568728",
            "telephone_number": "606-759-5157",
            "fax_number": "606-759-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR STE 203",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568728",
            "telephone_number": "606-759-5157",
            "fax_number": "606-759-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO TRACE GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "JARRELLS",
        "authorized_official_first_name": "KAMI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "606-759-4869",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "34725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffalo Trace Area Development District
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• Haley Burns, DMD
• Hope Burns

• Gastroenterology Physician in Maysville, KY
• Providers in Maysville, KY by specialty
• Gastroenterology Physician in Kentucky

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