Eastern Kentucky Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42069 Issued in KY

Legal business name

EASTERN KENTUCKY FAMILY MEDICINE PLLC

Practice address

713 Broadway St
Paintsville, KY 41240-1465

Phone

(606) 789-4255

Fax

(606) 886-9908

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Jason Castle, M.D.

Title

Sole Member

Phone

(606) 789-4255

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1730337247",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "P.O. BOX 1810",
            "city": "PRESTONSBURG",
            "state": "KENTUCKY",
            "postal_code": "41653",
            "telephone_number": "606-886-0224",
            "fax_number": "606-886-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BROADWAY ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401465",
            "telephone_number": "606-789-4255",
            "fax_number": "606-886-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN KENTUCKY FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "606-789-4255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "42069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100056750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Dumas, MD
• East Kentucky Counseling Associates LLC
• East Kentucky Healthcare
• East Kentucky Psychological Services Inc.
• East Ky Clinic
• Heather Dawn Eperson, APRN
• Dottie Fairchild, BA
• Rebecca Lynn Fairchild, BA
• Faithful Hands Home Care LLC
• Family Health Services, Inc.

• Family Medicine Physician in Paintsville, KY
• Providers in Paintsville, 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 May 4, 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.