East Side Family Medicine, PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EAST SIDE FAMILY MEDICINE, PSC

Practice address

601 Versailles Rd
Frankfort, KY 40601-3857

Phone

(502) 695-3946

Fax

(502) 695-3847

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Allen Courtney Haddix, M.DNPI 1508933771

Title

President

Phone

(502) 695-3946

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJBJAD

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.

• Allen Courtney Haddix, M.D.

  • Family Medicine Physician
  • Frankfort, KY
  • NPI 1508933771
  Authorized official Same address or phone
• Elizabeth Dicken Todd, M.D.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1043500036
  NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1518073105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013857",
            "telephone_number": "502-695-3946",
            "fax_number": "502-695-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013857",
            "telephone_number": "502-695-3946",
            "fax_number": "502-695-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE FAMILY MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "HADDIX",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "COURTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-695-3946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Bledsoe Duvall-Shaw, M.S. CCC-SLP
• Kelly L Dycus, LPCC-S
• Lydia A Eads, DNP
• Early Learning Village Clinic
• Early Years Orthodontics
• Paul Anthony Ebben, PSYD
• Valerie R Edmonds, DMD
• Jennifer Diehl Effron, HIS
• Bruce Elbert, PA
• Elkhorn Elementary School Clinic

• Family Medicine Physician in Frankfort, KY
• Providers in Frankfort, 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 Dec 9, 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.