Organization Active NPI

Parkway Medical Associates PSC

  • Family Medicine Physician
  • London, KY
National Provider Identifier
1811956089
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35548 Issued in KY
Legal business name
PARKWAY MEDICAL ASSOCIATES PSC
Practice address
102 Professional Dr
Suite 2
London, KY 40741-8857
Phone
(606) 878-9611
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Jackie Maxey, MD
Title
General Practitioner
Phone
(606) 878-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35548 KY Primary

Addresses

Primary practice location

102 Professional Dr
Suite 2
London, KY 40741-8857

Mailing address

PO Box 1676
London, KY 40743-1676
Phone (606) 878-9611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1811956089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1676",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407431676",
            "telephone_number": "606-878-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL DR",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418857",
            "telephone_number": "606-878-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICAL ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "GENERAL PRACTITIONER",
        "authorized_official_telephone_number": "606-878-9611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "35548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.