Organization Active NPI

Wesley Family Medical PSC

  • Family Medicine Physician
  • Franklin, KY
National Provider Identifier
1780841007
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 20, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000569379OtherANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.