Creekside Family Medical Center,PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CREEKSIDE FAMILY MEDICAL CENTER,PSC

Practice address

83 W Main St
Taylorsville, KY 40071-8616

Phone

(502) 477-1955

Fax

(502) 477-5524

NPI assigned

Mar 31, 2006

Organization subpart

No

Name

Thomas Cecil Crain, M.D.

Title

Owner

Phone

(502) 477-1955

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2009.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1861453524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "400710529",
            "telephone_number": "502-477-1955",
            "fax_number": "502-477-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 W MAIN ST",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "400718616",
            "telephone_number": "502-477-1955",
            "fax_number": "502-477-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE FAMILY MEDICAL CENTER,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-477-1955",
        "authorized_official_credential": "M.D."
    },
    "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": "65937534",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Brumit, LPCC
• Care Links
• Kimberly Ann Clark
• Cierra Connelley, APRN-CNP, PMHNP-BC
• Thomas Cecil Crain, M.D.
• Sally L Crespo
• Danan L Hall Chiropractic PLLC
• Ashley Marissa Doerr, PHARMD
• Laura Durham
• Ernest John Kettig

• All providers in Taylorsville, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.