Organization Active NPI

FM Primary Care LLC

  • Family Medicine Physician
  • Richmond, KY
National Provider Identifier
1629442744
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FM PRIMARY CARE LLC
Practice address
1042 Center Dr
Suite 111
Richmond, KY 40475-3838
Phone
(561) 779-2123
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Sardar KhanNPI 1568861680
Title
Practice Administrator
Phone
(561) 779-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1042 Center Dr
Suite 111
Richmond, KY 40475-3838

Mailing address

1042 Center Dr
Suite 111
Richmond, KY 40475-3838
Phone (561) 779-2123

National Provider Directory

National Provider Directory

Locations

1042 Center Dr
Ste 111
Richmond, KY 40475
Phone (561) 779-2123

1042 Center Dr
Ste 100
Richmond, KY 40475
Phone (859) 575-1518

Practitioners & affiliated clinicians

Practitioners 1

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": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1629442744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 CENTER DR",
            "address_2": "SUITE 111",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753838",
            "telephone_number": "561-779-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 CENTER DR",
            "address_2": "SUITE 111",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753838",
            "telephone_number": "561-779-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SARDAR",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-779-2123"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.