Mountain Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40946 Issued in KY

Legal business name

MOUNTAIN FAMILY MEDICINE LLC

Practice address

419 Town Mountain Rd
Suite 206
Pikeville, KY 41501-1631

Phone

(606) 432-0191

Fax

(606) 432-0111

NPI assigned

May 22, 2014

Last updated

May 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raymond O Bishop, MDNPI 1609865591

Title

Owner

Phone

(606) 432-0191

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond O Bishop, MD

  • Family Medicine Physician
  • Pikeville, KY
  • NPI 1609865591
  Authorized official Same address or phone

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1881006054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD",
            "address_2": "SUITE 206",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011631",
            "telephone_number": "606-432-0191",
            "fax_number": "606-432-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD",
            "address_2": "SUITE 206",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011631",
            "telephone_number": "606-432-0191",
            "fax_number": "606-432-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-432-0191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "40946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Morris
• Malisa Josephine Moss, D.O.
• Mountain Comprehensive Care Center, Inc. (Mountain Care Pharmacy)
• Mountain Comprehensive Care Center, Inc. (Homeplace Clinic for Children and Families)
• Mountain Comprehensive Care Center, Inc. (Homeplace Clinic)
• Mountain Family Medicine, LLC
• Mountain Medicine Pharmacy Inc
• Mountain Outreach Inc (Mountain Outreach Adult Day-Pike)
• Cassidy Paige Mounts
• Christa Muckenhausen, MD

• Family Medicine Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.