Family Care Associates, PSC
Organization Active NPI Family Medicine Physician · Cynthiana, KY
NPI 1851486906 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1851486906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FAMILY CARE ASSOCIATES, PSC
- Practice address
- 1210 Ky Highway 36E
2C
Cynthiana, KY 41031 - Phone
- (859) 234-6000
- Fax
- (859) 234-6011
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Julia Whalen
- Title
- Practice Manager
- Phone
- (859) 234-6000
Subparts reporting this organization as parent 1
Practitioners 7
-
Katharine Hammond, ARNP
-
Brian T Mulberry, MD
-
Crista Strawzell Crowdy, P. A.
-
Juawanna L Schuller, ARNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0324266 | Family Care Associates, PSC | Compliance | Apr 28, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031217000802 | KY | Part B Supplier - Clinic/Group Practice | 8820995814 |
Receives reassigned benefits from 5 practitioners Practice locations: Cynthiana, KY |
National Provider Directory
Locations
1210 KY Highway 36 E
Ste 2C
Cynthiana, KY 41031
Phone (859) 234-6000
1012 W Shelby St
Falmouth, KY 41040
Phone (859) 654-6966
1120 W Shelby St
#A
Falmouth, KY 41040
Phone (859) 654-6966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
1210 Ky Highway 36E
2C
Cynthiana, KY 41031
Mailing address
1210 Ky Highway 36E
2C
Cynthiana, KY 41031
Phone (859) 234-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65928608 | Medicaid | KY |
Other providers in Cynthiana, KY
- Durable Medical Supply Home Health Inc.
- Dwight E Lewis, MD, PSC
- Eastside Pharmacy of Cynthiana, Inc
- Edgemont Healthcare, Inc.
- Edgemont Manor
- William Ballard Faulkner III
- FDC Cynthiana LLC
- Aaron Michael Ferda
- David Royce Ferguson
- Chassity Shantel Fields
All providers in Cynthiana, KY · Family 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 4, 2011. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.