Annandlee, PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ANNANDLEE, PLLC

Doing business as

Bardstown Ambulatory Care

Practice address

118 Patriot Drive
Suite 102
Bardstown, KY 40004

Phone

(502) 350-1022

Fax

(502) 350-1023

NPI assigned

May 4, 2006

Last updated

May 17, 2011By 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

Charles W Parrish, MD

Title

Owner/Physician

Phone

(502) 350-1022

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Bardstown Ambulatory Care Doing business as

Locations

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.

• Erica C Greenwell, PA

  • Physician Assistant
  • Bardstown, KY
  • NPI 1346403326
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1720036429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PATRIOT DRIVE",
            "address_2": "SUITE 102",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-350-1022",
            "fax_number": "502-350-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PATRIOT DRIVE",
            "address_2": "SUITE 102",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-350-1022",
            "fax_number": "502-350-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNANDLEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "502-350-1022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78905015",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65945263",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bardstown Ambulatory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Medicine Physician in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.