Active NPI
Dr. Phyllis D. Corbitt PSC
- Family Medicine Physician
- Wilmore, KY
National Provider Identifier
1578896080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14389
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.