My Private MD PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19902 Issued in MH

Legal business name

MY PRIVATE MD PSC

Practice address

175 S English Station Rd
Louisville, KY 40245-4160

Phone

(502) 253-6582

Fax

(502) 253-6585

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Prather Rankin, M.D.

Title

President

Phone

(502) 253-6582

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1851582688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S ENGLISH STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454160",
            "telephone_number": "502-253-6582",
            "fax_number": "502-253-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S ENGLISH STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454160",
            "telephone_number": "502-253-6582",
            "fax_number": "502-253-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PRIVATE MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PRATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-253-6582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MH",
            "license": "19902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, 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 Aug 7, 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.