Northern Ky Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHERN KY INTERNAL MEDICINE LLC

Practice address

1515 Cavalry LN
Florence, KY 41042-8430

Phone

(859) 817-9772

Fax

(859) 817-9885

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Michael Justin, MD

Title

President

Phone

(859) 817-9772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1831488758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CAVALRY LN",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410428430",
            "telephone_number": "859-817-9772",
            "fax_number": "859-817-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CAVALRY LN",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410428430",
            "telephone_number": "859-817-9772",
            "fax_number": "859-817-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KY INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "JUSTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-817-9772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Kentucky Independent District Health Department
• Northern Kentucky Pain Relief Physical Medicine Center PSC
• Northern Kentucky Physiotherapy
• Northern Kentucky Primary Care PLLC
• Northern Kentucky Smiles (NKY Orthodontics)
• Northern Ky Transportation LLC (Liberty Ride)
• Catherine Rena Northup, APRN
• Nova Care LLC
• Daniel Joseph Nowak
• Thomas C Noyes, PH.D

• Internal Medicine Physician in Florence, KY
• Providers in Florence, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.