Organization Active NPI

Ucfa Physicians Network Group of Kentucky

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1821765892
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UCFA PHYSICIANS NETWORK GROUP OF KENTUCKY
Practice address
110 W Vine St
Lexington, KY 40507-1658
Phone
(423) 271-9911
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Theo Stephens
Title
Acting Chief of PRG
Phone
(423) 271-9911

Specialties & licenses 1

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

Addresses

Primary practice location

110 W Vine St
Lexington, KY 40507-1658

Mailing address

8930 Cross Park Dr Ste 3
Knoxville, TN 37923-4713

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1821765892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 CROSS PARK DR STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W VINE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071658",
            "telephone_number": "423-271-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCFA PHYSICIANS NETWORK GROUP OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "THEO",
        "authorized_official_title_or_position": "ACTING CHIEF OF PRG",
        "authorized_official_telephone_number": "423-271-9911"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.