Ronald Faulkner, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19636 Issued in KY

Practice address

650 W Lincoln Trail Blvd
Radcliff, KY 40160-2602

Phone

(270) 352-4601

Fax

(270) 352-4600

NPI assigned

Jun 7, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Care @ Home, LLC

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  • Elizabethtown, KY
  • NPI 1003137605
  NPD
• James Moss PLLC

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1932492733
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891735908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602602",
            "telephone_number": "270-352-4601",
            "fax_number": "270-352-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602602",
            "telephone_number": "270-352-4601",
            "fax_number": "270-352-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "19636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falls Dialysis, LLC (Radcliff Dialysis)
• Family Care Center North Hardin
• Family Dynamics Behavioral Health Care PLLC
• Family Practice Associates
• Crystal Dawn Farmer, LPCC
• Fresenius Medical Care Nak Radcliff, LLC (Fresenius Medical Care North Hardin)
• Tiffany Brooke Frogge, RBT
• Breanna Fuhrman, APRN, FNP-C
• Tatyana Furman, DMD
• Galena LLC

• Family Medicine Physician in Radcliff, KY
• Providers in Radcliff, 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 Mar 7, 2023; 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.