Organization Active NPI

Dr. Phil Aaron Medical Center, PLLC

  • Rural Health Clinic/Center
  • Columbia, KY
National Provider Identifier
1689676850
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
900046 Issued in KY
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

Updated by the provider on Feb 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
35001288MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.