Individual provider Active NPI

Anthony C Stumbo, MD

  • Internal Medicine Physician
  • Prestonsburg, KY
National Provider Identifier
1780769422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27494 Issued in KY
Practice address
5000 Ky RT 321
Suite 3102
Prestonsburg, KY 41653
Phone
(606) 886-7645
Fax
(606) 886-7427
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27494 KY Primary

Addresses

Primary practice location

5000 Ky RT 321
Suite 3102
Prestonsburg, KY 41653

Mailing address

PO Box 72
Prestonsburg, KY 41653
Phone (606) 886-7645

Other identifiers 1

IdentifierTypeStateIssuer
64274947MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000740 KY Practitioner - Internal Medicine 9931121696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 Ky Route 321
Prestonsburg, KY 41653-9113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Heart and Vascular LLC Internal Medicine CurrentSince Jul 18, 2019 Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Aug 1, 2019 Accepting new patients

Locations

24 Left Penhook Rd
Harold, KY 41635
Phone (606) 478-8787

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

520 N Mayo Trl
Paintsville, KY 41240
Phone (606) 789-3188

5000 Ky Route 321
Ste 3102B
Prestonsburg, KY 41653
Phone (606) 889-3650

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

5000 Ky Route 321
Ste 3141
Prestonsburg, KY 41653
Phone (606) 886-7517

5000 Ky Route 321
Ste 3102
Prestonsburg, KY 41653
Phone (606) 886-7517

5000 Ky Route 321
#3102
Prestonsburg, KY 41653
Phone (606) 886-7645

5000 Ky Route 321
Ste 2127
Prestonsburg, KY 41653
Phone (606) 889-6160

Interoperability endpoints

  • Direct secure messaging: anthonystumbo@arh.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780769422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-886-7645",
            "fax_number": "606-886-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 KY RT 321",
            "address_2": "SUITE 3102",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-886-7645",
            "fax_number": "606-886-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBO",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "27494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64274947",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.