PR Vellayan MD PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20552 Issued in KY

Legal business name

PR VELLAYAN MD PSC

Practice address

306 Hospital Dr
Suite 101
South Williamson, KY 41503-4095

Phone

(606) 237-1000

Fax

(606) 237-1001

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By 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

Dr. Periyakaruppan Vellayan, MDNPI 1548233778

Title

President

Phone

(606) 237-1000

Specialties & licenses 1

Addresses

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.

• Periyakaruppan Vellayan, MD

  • Internal Medicine Physician
  • South Williamson, KY
  • NPI 1548233778
  NPD (past) Authorized official

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1619158987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-1000",
            "fax_number": "606-237-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-1000",
            "fax_number": "606-237-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR VELLAYAN MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "VELLAYAN",
        "authorized_official_first_name": "PERIYAKARUPPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-237-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "20552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ojeda, CRNA
• Ashok K Patnaik, MD
• Physical Therapy Clinic PSC (Pike County Physical Therapy Clinic, PSC)
• Pikeville Medical Center Inc
• Pikeville Medical Center, Inc.
• Prakash G. Mahalingashetty, MD, PSC
• Primary Care Associates of Williamson
• Sherena Prince, MS
• Melissa Ratliff
• Lois Renay Reed

• Internal Medicine Physician in South Williamson, KY
• Providers in South Williamson, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.