Enclave Family Healthcare, PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

017076 Issued in KY

Legal business name

ENCLAVE FAMILY HEALTHCARE, PLC

Practice address

3500 Villa PT
Suite 110
Owensboro, KY 42303-7825

Phone

(270) 685-3722

Fax

(270) 777-9283

NPI assigned

Jun 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael W Jones, D.O., M.B.A.

Title

Owner/Physician

Phone

(370) 314-4394

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1720215767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 VILLA PT",
            "address_2": "SUITE 110",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037825",
            "telephone_number": "270-685-3722",
            "fax_number": "270-777-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VILLA PT",
            "address_2": "SUITE 110",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037825",
            "telephone_number": "270-685-3722",
            "fax_number": "270-777-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCLAVE FAMILY HEALTHCARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "370-314-4394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., M.B.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "017076",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Owensboro, KY
• Providers in Owensboro, 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 Dec 30, 2014; 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.