Parkway Regional Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PARKWAY REGIONAL MEDICAL CLINIC INC

Practice address

2006 Holiday LN
Ste 100
Fulton, KY 42041-8468

Phone

(270) 472-8399

Fax

(270) 472-8123

NPI assigned

Jul 18, 2005

Last updated

Feb 29, 2016By 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

James P Wright

Title

Senior Director

Phone

(615) 778-1502

Specialties & licenses 9

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Parkway Regional Medical Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • Fulton, KY
  • NPI 1952622490

  Member Of

  NPD member

Locations

Practitioners 5

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.

• Dennice Lindsay, A.R.N.P.

  • Nurse Practitioner
  • Paducah, KY
  • NPI 1225111768
  NPD (past)
• William Rafael Sanchez, M.D.

  • Surgery Physician
  • Lexington, KY
  • NPI 1902074503

  Family Medicine

  NPD (past)
• Bruce C Smith, M.D.

  • Family Medicine Physician
  • Clinton, KY
  • NPI 1962400648
  NPD (past)
• Susan Berg, MD

  • Family Medicine Physician
  • Danville, IL
  • NPI 1043219736
  NPD (past)
• Fred Gregory Cox, MD

  • Internal Medicine Physician
  • South Fulton, TN
  • NPI 1104830801
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1659370153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-778-8539",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOLIDAY LN",
            "address_2": "STE 100",
            "city": "FULTON",
            "state": "KY",
            "postal_code": "420418468",
            "telephone_number": "270-472-8399",
            "fax_number": "270-472-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY REGIONAL MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "615-778-1502"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510337",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65927766",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indu Bala Malik, MD
• Gina Louise McClure
• Parkway Anesthesia
• Parkway Regional Medical Clinic Inc (Tri Cities EMS)
• Parkway Regional Medical Clinic Inc
• Parkway Regional Medical Clinic Inc
• Parkway Regional Medical Clinic, Inc
• Pinelake Physician Practice, LLC (Jackson Purchase Primary Care - Fulton Clinic)
• Amelia Alexander Prater, PHARM D.
• David Stewart Prater Jr., PHARM D.

• Family Medicine Physician in Fulton, KY
• Providers in Fulton, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.