Arlington Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

31625 Issued in KY

Legal business name

ARLINGTON MEDICAL CLINIC

Doing business as

Arlington Medical Clinic

Practice address

100 State Route 80 E
Arlington, KY 42021-9016

Phone

(270) 267-0051

Fax

(270) 251-4546

NPI assigned

Feb 21, 2018

Last updated

Feb 21, 2018By 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

David R Zetter, MDNPI 1598711756

Title

Sole MBR

Phone

(270) 251-4562

Specialties & licenses 1

Addresses

Other names 1

• Arlington Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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.

• David R Zetter, MD

  • General Practice Physician
  • Arlington, KY
  • NPI 1598711756
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1629579180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MEDICAL CENTER CIR STE 200",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661189",
            "telephone_number": "270-251-4562",
            "fax_number": "270-251-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STATE ROUTE 80 E",
            "city": "ARLINGTON",
            "state": "KY",
            "postal_code": "420219016",
            "telephone_number": "270-267-0051",
            "fax_number": "270-251-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "ZETTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "270-251-4562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "31625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medcare Inc (Medcare Pharmacy and Home Medical)
• Jeanna O'Neill
• David R Zetter, MD

• Clinic/Center in Arlington, KY
• Providers in Arlington, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.