Joseph Tye Prewitt

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TC127 Issued in KY

Legal business name

JOSEPH TYE PREWITT

Practice address

15 Moonbow PLZ
Corbin, KY 40701-8949

Phone

(606) 528-5331

Fax

(606) 528-3223

NPI assigned

Aug 20, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Chawntay Gilmore

Title

Billing Office Manager

Phone

(606) 526-8122

Specialties & licenses 1

Addresses

Other names 1

• BAPTIST CARDIOLOGY OF CORBIN Other name

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1740538966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 E LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416871",
            "telephone_number": "606-231-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOONBOW PLZ",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018949",
            "telephone_number": "606-528-5331",
            "fax_number": "606-528-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH TYE PREWITT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "CHAWNTAY",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "606-526-8122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAPTIST CARDIOLOGY OF CORBIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Jones, LMT
• Virginia Denise Jones, BA
• Amber Nicole Jordan
• D'Angelo Jordan Sr.
• Stephanie Jordan, MA, LPCC
• Adam Joseph
• Amber Sudie Joseph
• Bruce R Jung, MD
• Dana Renae Junker, DI
• Dianne Collett Kagin, M.A., CADC

• Medical Physician Assistant in Corbin, KY
• Providers in Corbin, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.