Organization Active NPI

Eastern Ky Medical Clinics

  • Family Medicine Physician
  • Hagerhill, KY
National Provider Identifier
1831399757
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EASTERN KY MEDICAL CLINICS
Practice address
169 Goble BR
Hagerhill, KY 41222-8639
Phone
(606) 789-1223
Fax
(606) 789-9313
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Teresa Lynn Terry
Title
Owner
Phone
(606) 789-1223

Specialties & licenses 1

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

Addresses

Primary practice location

169 Goble BR
Hagerhill, KY 41222-8639

Mailing address

169 Goble BR
Hagerhill, KY 41222-8639
Phone (606) 789-1223

Other identifiers 1

IdentifierTypeStateIssuer
65933566MedicaidKY

National Provider Directory

National Provider Directory

Locations

865 N US Highway 23
Paintsville, KY 41240
Phone (606) 297-7443

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1831399757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 GOBLE BR",
            "city": "HAGERHILL",
            "state": "KY",
            "postal_code": "412228639",
            "telephone_number": "606-789-1223",
            "fax_number": "606-789-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 GOBLE BR",
            "city": "HAGERHILL",
            "state": "KY",
            "postal_code": "412228639",
            "telephone_number": "606-789-1223",
            "fax_number": "606-789-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN KY MEDICAL CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-789-1223"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933566",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerhill, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.