Pikeville Medical Center Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PIKEVILLE MEDICAL CENTER INC.

Practice address

148 Suite a
Whitesburg Plaza
Whitesburg, KY 41858

Phone

(606) 218-3500

NPI assigned

Oct 19, 2010

Last updated

Dec 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Hagy

Title

Cfo

Phone

(606) 218-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pikeville Medical Center Clinic at Whitesburg Walmart Other name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pikeville Medical Center Inc.

  • Multi-Specialty Clinic/Center
  • Pikeville, KY
  • NPI 1528195864

  O20040304001281

  Same enrollment
• Pikeville Medical Center Inc.

  • Clinic/Center
  • Pikeville, KY
  • NPI 1710207865

  O20040304001281

  Same enrollment

Locations

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1801106281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 BYPASS ROAD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-218-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SUITE A",
            "address_2": "WHITESBURG PLAZA",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-218-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "HAGY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-218-3500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65922361",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikeville Medical Center Clinic at Whitesburg Walmart",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandeep Kumar Patnaik, MD
• John L. Pellegrini, M.D.
• Shirlyn Perkins
• Pikeville Medical Center Inc
• Pikeville Medical Center Inc
• Pine Mountain Pharmacy Inc
• Primary Care Centers of Eastern Kentucky, LLC
• R D Buck MD PC
• Chalapathi G Rao, MD
• Todd A. Ratliff, D.M.D.

• Clinic/Center in Whitesburg, KY
• Providers in Whitesburg, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.