Fairview Physicians Network LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAIRVIEW PHYSICIANS NETWORK LLC

Practice address

102 W 18TH St
Hopkinsville, KY 42240-1961

Phone

(270) 707-2100

Fax

(270) 707-2103

NPI assigned

Jul 5, 2011

Organization subpart

No

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

Authorized official

Name

Eric Lee

Title

President/Ceo

Phone

(270) 887-0100

Specialties & licenses 15

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jennie Stuart Medical Center Inc

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1679293369

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua C Blair, M.D.

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1861402653
  NPD (past)
• Kevin R Camenisch, PA

  • Physician Assistant
  • Lexington, KY
  • NPI 1205937398
  NPD (past)
• Henry C Covington, MD

  • Internal Medicine Physician
  • Hopkinsville, KY
  • NPI 1518932466
  NPD (past)
• William Thomas Howard, PA-C

  • Physician Assistant
  • Hopkinsville, KY
  • NPI 1568480317
  NPD (past)
• Manoj H Majmudar, MD

  • Pulmonary Disease Physician
  • Hopkinsville, KY
  • NPI 1659336097

  Internal Medicine

  NPD (past)
• Beth Ann McCraw, ARNP, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Hopkinsville, KY
  • NPI 1174753370
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1821385329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410990",
            "telephone_number": "270-707-2100",
            "fax_number": "270-707-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 18TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401961",
            "telephone_number": "270-707-2100",
            "fax_number": "270-707-2103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10755 Eagle Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408742",
            "country_code": "US",
            "telephone_number": "270-889-0701",
            "fax_number": "270-889-0556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10755 Eagle Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408742",
            "country_code": "US",
            "telephone_number": "270-887-0270",
            "fax_number": "270-886-3969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10755 Eagle Way Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408742",
            "country_code": "US",
            "telephone_number": "270-887-5640",
            "fax_number": "270-886-5371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724 Kenton St Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401981",
            "country_code": "US",
            "telephone_number": "270-886-5141",
            "fax_number": "270-885-1877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAIRVIEW PHYSICIANS NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "270-887-0100"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100172970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Evans
• Rebekah Evans
• Jacqualina Everhart
• Meredith Ezell
• Fairview Physicians Network LLC
• Fairview Physicians Network, LLC
• Fairview Physicians Network, LLC
• Fairview Physicians Network, LLC
• Faith Healthcare Inc
• Joseph N Falco, DMD

• Family Medicine Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.