Individual provider Active NPI

James Timothy Kohari I, D.O.

  • Family Medicine Physician
  • South Williamson, KY
National Provider Identifier
1619957438
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02231 Issued in KY
Practice address
306 Hospital Dr
Suite 105
South Williamson, KY 41503-4095
Phone
(606) 237-0053
Fax
(606) 237-6276
NPI assigned
Jan 18, 2006
Last updated
Feb 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02231 KY Primary

Addresses

Primary practice location

306 Hospital Dr
Suite 105
South Williamson, KY 41503-4095

Mailing address

306 Hospital Dr
Suite 105
South Williamson, KY 41503-4095
Phone (606) 237-0053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02231KYMDFamily Medicine Physician
1211WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates of Williamson Family Medicine PastSince Jan 1, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1619957438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-0053",
            "fax_number": "606-237-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-0053",
            "fax_number": "606-237-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHARI",
        "first_name": "JAMES",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.