Active NPI
J David Outland, M.D.
- Dermatology Physician
- Murray, KY
National Provider Identifier
1629243860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 34234
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryLocations
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.
-
- Dermatology Physician
- Murray, KY
- NPI 1922006295
-
- Physician Assistant
- Memphis, TN
- NPI 1871604488
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.