Individual provider Active NPI

Anthony Francis Filippone, D.O.

  • Family Medicine Physician
  • Leitchfield, KY
National Provider Identifier
1780796896
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
043368 Issued in GA
Practice address
100 Shauna Dr
Leitchfield, KY 42754-1408
Phone
(502) 339-8000
NPI assigned
Aug 31, 2006
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02831 KY
Emergency Medicine Physician 207P00000X 043368 GA
Family Medicine Physician 207Q00000X 043368 GA Primary

Addresses

Primary practice location

100 Shauna Dr
Leitchfield, KY 42754-1408

Mailing address

100 Shauna Dr
Leitchfield, KY 42754-1408

Other identifiers 1

IdentifierTypeStateIssuer
64090822MedicaidKY

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
I20231220001289 KY Practitioner - Family Practice 4587550132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TLBH WellnessGroup PAC ID 6204285760, 3 clinicians

Practice addresses (Care Compare)

334 S Main St
Leitchfield, KY 42754-1428
Phone (270) 971-1789

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
464SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TLBH Wellness Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
Southern Medical Partners, LLC Emergency Medicine Past Accepting new patients
Williamson Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine Past Accepting new patients
Middlesborough Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

332 S Main St
Leitchfield, KY 42754
Phone (270) 230-1777

334 S Main St
Leitchfield, KY 42754
Phone (270) 200-0501

346 S Main St
Leitchfield, KY 42754
Phone (270) 230-1777

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1780796896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHAUNA DR",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHAUNA DR",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541408",
            "telephone_number": "502-339-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPPONE",
        "first_name": "ANTHONY",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "02831",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "043368",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64090822",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

Verify at the official NPI Registry.