Organization Active NPI

Purchase Regional Orthopaedics PSC

  • Orthopaedic Surgery Physician
  • Mayfield, KY
National Provider Identifier
1770782104
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
03053 Issued in KY
Legal business name
PURCHASE REGIONAL ORTHOPAEDICS PSC
Practice address
1029 Medical Center Cir
Suite 406
Mayfield, KY 42066-1189
Phone
(270) 251-8114
Fax
(270) 251-8115
NPI assigned
Jul 16, 2007
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Eric B Metz, MD
Title
Owner
Phone
(270) 251-8114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 03053 KY Primary

Addresses

Primary practice location

1029 Medical Center Cir
Suite 406
Mayfield, KY 42066-1189

Mailing address

1029 Medical Center Cir
Suite 406
Mayfield, KY 42066-1189
Phone (270) 251-8114

Other identifiers 1

IdentifierTypeStateIssuer
7100026150MedicaidKY

National Provider Directory

National Provider Directory

Locations

1029 Medical Center Cir
Ste 406
Mayfield, KY 42066
Phone (270) 247-8347

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1770782104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MEDICAL CENTER CIR",
            "address_2": "SUITE 406",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661189",
            "telephone_number": "270-251-8114",
            "fax_number": "270-251-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MEDICAL CENTER CIR",
            "address_2": "SUITE 406",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661189",
            "telephone_number": "270-251-8114",
            "fax_number": "270-251-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURCHASE REGIONAL ORTHOPAEDICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-251-8114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "03053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100026150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.