Paint Lick Family Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26657 Issued in KY

Legal business name

PAINT LICK FAMILY CLINIC INC

Practice address

11652 Hwy 52 Richmond Road
Paint Lick, KY 40461-0065

Phone

(859) 925-2444

Fax

(859) 925-2334

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By 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

John Strother Belanger, MDNPI 1669517454

Title

Medical Director

Phone

(859) 925-2444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• John Strother Belanger, MD

  • Family Medicine Physician
  • Paint Lick, KY
  • NPI 1669517454
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558496570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11652 HWY 52 RICHMOND ROAD",
            "city": "PAINT LICK",
            "state": "KY",
            "postal_code": "404610065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11652 HWY 52 RICHMOND ROAD",
            "city": "PAINT LICK",
            "state": "KY",
            "postal_code": "404610065",
            "telephone_number": "859-925-2444",
            "fax_number": "859-925-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINT LICK FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELANGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STROTHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "859-925-2444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "26657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65909707",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Strother Belanger, MD
• Helena Bergman
• Cumberland Family Medical Center, Inc. (Paint Lick Elementary Healthy Kids Clinic)
• Pamela Gay Garner
• Vicky J Hays

• Family Medicine Physician in Paint Lick, KY
• Providers in Paint Lick, 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 Aug 22, 2020; 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.