Organization Active NPI

Urology Partners of Western Ky, PSC

  • Urology Physician
  • Madisonville, KY
National Provider Identifier
1548355688
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
24878 Issued in KY
Legal business name
UROLOGY PARTNERS OF WESTERN KY, PSC
Practice address
44 McCoy Ave
Madisonville, KY 42431-2867
Phone
(270) 825-0020
Fax
(270) 643-0082
NPI assigned
Oct 4, 2006
Last updated
Nov 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
James M Fellows, MDNPI 1497762892
Title
President
Phone
(270) 827-2915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 24878 KY Primary

Addresses

Primary practice location

44 McCoy Ave
Madisonville, KY 42431-2867

Mailing address

PO Box 1062
Henderson, KY 42419-1062
Phone (270) 827-2915

Other identifiers 1

IdentifierTypeStateIssuer
64757602MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504001317 KY Part B Supplier - Clinic/Group Practice 1557359965 Receives reassigned benefits from 6 practitioners
Practice locations: Henderson, KY; Madisonville, KY; Hopkinsville, KY; Cadiz, KY

National Provider Directory

National Provider Directory

Locations

250 Main St
Ste E
Cadiz, KY 42211
Phone (270) 522-6963

323 8th St
Henderson, KY 42420
Phone (270) 827-2548

323 8th St
Ste 220
Henderson, KY 42420

44 McCoy Ave
Ste 227
Madisonville, KY 42431
Phone (270) 825-0020

44 McCoy Ave
Ste 8
Madisonville, KY 42431
Phone (270) 825-0020

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1548355688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1062",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424191062",
            "telephone_number": "270-827-2915",
            "fax_number": "270-643-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312867",
            "telephone_number": "270-825-0020",
            "fax_number": "270-643-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY PARTNERS OF WESTERN KY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-827-2915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "24878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64757602",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.