Organization Active NPI

Dr. Phyllis D. Corbitt PSC

  • Family Medicine Physician
  • Wilmore, KY
National Provider Identifier
1578896080
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14389 Issued in KY
Legal business name
DR. PHYLLIS D. CORBITT PSC
Practice address
317 E Main St
Wilmore, KY 40390-1323
Phone
(859) 858-3219
Fax
(859) 858-3940
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Dr. Phyllis D Corbitt, MD
Title
Physician
Phone
(859) 858-3219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 14389 KY Primary

Addresses

Primary practice location

317 E Main St
Wilmore, KY 40390-1323

Mailing address

317 E Main St
Wilmore, KY 40390-1323
Phone (859) 858-3219

National Provider Directory

National Provider Directory

Locations

317 E Main St
Wilmore, KY 40390
Phone (859) 295-8008

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1578896080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901323",
            "telephone_number": "859-858-3219",
            "fax_number": "859-858-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901323",
            "telephone_number": "859-858-3219",
            "fax_number": "859-858-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PHYLLIS D. CORBITT PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "CORBITT",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "859-858-3219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "14389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmore, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.