Organization Active NPI

J David Outland, M.D.

  • Dermatology Physician
  • Murray, KY
National Provider Identifier
1629243860
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34234 Issued in KY
Legal business name
J DAVID OUTLAND, M.D.
Practice address
300 S 8TH St Ste 405E
Murray, KY 42071-2444
Phone
(270) 759-4500
Fax
(270) 761-1879
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. J David Outland, M.D.
Title
Owner
Phone
(270) 759-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 34234 KY Primary

Addresses

Primary practice location

300 S 8TH St Ste 405E
Murray, KY 42071-2444

Mailing address

300 S 8TH St Ste 405E
Murray, KY 42071-2444
Phone (270) 759-4500

National Provider Directory

National Provider Directory

Locations

300 S 8th St
Ste 405E
Murray, KY 42071
Phone (270) 759-4500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1629243860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 405E",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712444",
            "telephone_number": "270-759-4500",
            "fax_number": "270-761-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 8TH ST STE 405E",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712444",
            "telephone_number": "270-759-4500",
            "fax_number": "270-761-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DAVID OUTLAND, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "OUTLAND",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-759-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KY",
            "license": "34234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.