Evelyn Salisbury Middleton, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

19100 Issued in KY

Practice address

117 West South St
Munfordville, KY 42765

Phone

(270) 524-7231

Fax

(270) 524-7415

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

• Evelyn E. Salisbury Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2017.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1790740868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "42765",
            "telephone_number": "270-524-7231",
            "fax_number": "270-524-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WEST SOUTH ST",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "42765",
            "telephone_number": "270-524-7231",
            "fax_number": "270-524-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "EVELYN",
        "middle_name": "SALISBURY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "19100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHUB BCBS",
            "identifier": "000000046107",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64191000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID MGDCARE",
            "identifier": "1064170",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "SALISBURY",
            "middle_name": "E.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa Dianne McCorkle
• Destinie D Melton, LCSW
• Rachel Mercer
• Hilary Meredith
• Shannon Lynn Mester, APRN
• James W Middleton Jr., MD
• Autumn Minch, LPCC
• Kimberly Ann Owens, APRN
• Sandhya Pahuja, M.D.
• Jackie A. Pandeya, APRN

• All providers in Munfordville, KY
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.