Elizabethtown Rheumatology PSC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

36225 Issued in KY

Legal business name

ELIZABETHTOWN RHEUMATOLOGY PSC

Practice address

914 N Dixie Ave Ste 206
Elizabethtown, KY 42701-2541

Phone

(270) 737-7021

Fax

(270) 982-5138

NPI assigned

Mar 13, 2008

Last updated

Jul 21, 2022By 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

Saleem Sajid, MDNPI 1366424293

Title

Owner

Phone

(270) 982-5138

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

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.

• Saleem Sajid, M.D.

  • Rheumatology Physician
  • Elizabethtown, KY
  • NPI 1366424293
  Medicare reassignment NPD Authorized official
• Muhammad A Shoaib, MD

  • Neurology Physician
  • Liberty, MO
  • NPI 1881672376
  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619148012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N DIXIE AVE STE 206",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012541",
            "telephone_number": "270-982-5138",
            "fax_number": "270-982-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N DIXIE AVE STE 206",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012541",
            "telephone_number": "270-737-7021",
            "fax_number": "270-982-5138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1239 Woodland Dr",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012770",
            "country_code": "US",
            "telephone_number": "270-737-7021",
            "fax_number": "270-982-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZABETHTOWN RHEUMATOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAJID",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-982-5138",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KY",
            "license": "36225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabethtown Partners in Counseling Inc
• Elizabethtown Partners in Counseling Inc
• Elizabethtown Pediatric Dentistry (Pediatric Dentistry of Elizabethtown)
• Elizabethtown Physicians for Women,PSC
• Elizabethtown Radiology, P.S.C.
• Laine B. Elkin
• David Elliott, MD
• Patricia Elliott, PBS
• Ellis Professional Counseling Services, LLC (Alice Ellis, LPCC)
• Alice A Ellis, LPCC

• Medical Specialty Clinic/Center in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Medical Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.