VMD Primary Providers Central Kentucky
Organization Active NPI Internal Medicine Physician · Murray, KY
NPI 1831674654 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1831674654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- VMD PRIMARY PROVIDERS CENTRAL KENTUCKY
- Practice address
- 1000 S 12TH St
Murray, KY 42071-9303 - Phone
- (888) 978-1055
- NPI assigned
- Sep 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Rebecca Rager
- Title
- Director Revenue Cycle
- Phone
- (844) 969-0686
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 77
-
Rachael P. Abell, APRN
-
Margaret Ballard, FNP
-
Richard E Blalock, M.D.
-
Jacquelyn R Blandford, APRN
-
Daniel F Butler, MD
-
Hollis J Clark, MD
-
Kelly Renee Deatley, M.D.
-
Kissa Lynn Dibble, APRN
-
Vernon W Duncan, M.D.
-
Janna L French, APRN
-
David Brian George, M.D.
-
Jason A Harper, M.D.
-
Joyce F Hughes, MD
-
Millicent Gay Kadner, APRN
-
Jon K Kostelic, M.D.
-
Joseph Alan Lambert II, M.D.
-
Michelle Jo Leathers, M.D.
-
Anne C Morley, APRN
-
Darrell New I, APRN
-
Lindsay Ann Osborne, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190531002182 | KY | Part B Supplier - Clinic/Group Practice | 6709119068 |
Receives reassigned benefits from 76 practitioners 1 other NPI on this enrollment Practice locations: Lebanon, KY; Murray, KY |
National Provider Directory
Locations
1300 Clear Springs Trce
Louisville, KY 40223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1000 S 12TH St
Murray, KY 42071-9303
Mailing address
1000 S 12TH St
Murray, KY 42071-9303
Phone (888) 978-1055
Other practice location 1
1300 Clear Springs Trce
Louisville, KY 40223-3868
Phone (312) 465-7900
Other providers in Murray, KY
- Villagemd Clinicals Pharmacy Kentucky
- Villagemd Kentucky, PSC
- David Vincent
- VMD Primary Providers Central Kentucky
- VMD Primary Providers Central Kentucky
- VMD Primary Providers Central Kentucky
- Richard L Vonnahme
- Tom L Wagner
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
All providers in Murray, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.