Active NPI
Wesley Family Medical PSC
- Family Medicine Physician
- Franklin, KY
National Provider Identifier
1780841007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WESLEY FAMILY MEDICAL PSC
- Practice address
- 1100 Brookhaven Rd
Suite 101
Franklin, KY 42134-2746 - Phone
- (270) 586-1969
- Fax
- (270) 586-1914
- NPI assigned
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert T. Wesley
- Title
- MD
- Phone
- (270) 586-1969
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X | 3006580 | KY |
Addresses
Primary practice location
1100 Brookhaven Rd
Suite 101
Franklin, KY 42134-2746
Mailing address
PO Box 1099
Franklin, KY 42135-1099
Phone (270) 586-1969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000569379 | Other | ANTHEM BCBS |
National Provider Directory
National Provider DirectoryLocations
1100 Brookhaven Rd
Ste 101
Franklin, KY 42134
Phone (270) 780-2660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363737600000",
"number": "1780841007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1099",
"city": "FRANKLIN",
"state": "KY",
"postal_code": "421351099",
"telephone_number": "270-586-1969",
"fax_number": "270-586-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BROOKHAVEN RD",
"address_2": "SUITE 101",
"city": "FRANKLIN",
"state": "KY",
"postal_code": "421342746",
"telephone_number": "270-586-1969",
"fax_number": "270-586-1914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESLEY FAMILY MEDICAL PSC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2013-03-20",
"status": "A",
"authorized_official_last_name": "WESLEY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "270-586-1969"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3006580",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000569379",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.