Active NPI
Dr. Phil Aaron Medical Center, PLLC
- Rural Health Clinic/Center
- Columbia, KY
National Provider Identifier
1689676850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 900046
- Legal business name
- DR. PHIL AARON MEDICAL CENTER, PLLC
- Practice address
- 805 Burkesville St
Columbia, KY 42728-1655 - Phone
- (270) 384-1110
- Fax
- (270) 384-3436
- NPI assigned
- Jun 1, 2005
- 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. Phil Aaron, MD
- Title
- Manager Member
- Phone
- (270) 384-1110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 900046 | KY | Primary |
Addresses
Primary practice location
805 Burkesville St
Columbia, KY 42728-1655
Mailing address
805 Burkesville St
Columbia, KY 42728-1655
Phone (270) 384-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35001288 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
805 Burkesville St
Columbia, KY 42728
Phone (270) 384-0233
216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203897600000",
"number": "1689676850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 BURKESVILLE ST",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427281655",
"telephone_number": "270-384-1110",
"fax_number": "270-384-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 BURKESVILLE ST",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427281655",
"telephone_number": "270-384-1110",
"fax_number": "270-384-3436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. PHIL AARON MEDICAL CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2008-02-25",
"status": "A",
"authorized_official_last_name": "AARON",
"authorized_official_first_name": "PHIL",
"authorized_official_title_or_position": "MANAGER MEMBER",
"authorized_official_telephone_number": "270-384-1110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "KY",
"license": "900046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35001288",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.