Knox Family Medicine PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KNOX FAMILY MEDICINE PSC

Practice address

602 Knox St
Barbourville, KY 40906-1304

Phone

(606) 546-6027

Fax

(606) 546-2084

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul C Pedersen, MD

Title

President

Phone

(606) 546-6027

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherelene Scott Fortney, ARNP

  • Nurse Practitioner
  • Barbourville, KY
  • NPI 1578549036
  NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1528138229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 KNOX ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061304",
            "telephone_number": "606-546-6027",
            "fax_number": "606-546-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 KNOX ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061304",
            "telephone_number": "606-546-6027",
            "fax_number": "606-546-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX FAMILY MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-546-6027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001064",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Knox County Health Department
• Knox County Radiology Associates, Inc.
• Knox County Schools
• Knox Family Dentistry, P.S.C.
• Knox Family Medicine
• Knox Hospital Corporation (Knox County Hospital)
• Knox Hospital Corporation (Knox County Hospital SNF)
• Knox Hospital Corporation (Knox County Hospital)
• Knox Hospital Corporation (Knox County Hospital)
• Knox Professional Pharmacy Inc (Knox Professional Pharmacy)

• Family Medicine Physician in Barbourville, KY
• Providers in Barbourville, 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 Sep 14, 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.