Active NPI
Family Practice of Greenville PSC
Doing business as Marshall E Prunty MD
- Family Medicine Physician
- Greenville, KY
National Provider Identifier
1891813986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22988
- Legal business name
- FAMILY PRACTICE OF GREENVILLE PSC
- Doing business as
- Marshall E Prunty MD
- Practice address
- 601 Greene Dr
Greenville, KY 42345-1451 - Phone
- (270) 338-0600
- Fax
- (270) 338-0605
- NPI assigned
- Mar 27, 2007
- Last updated
- Jan 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marshall Edward Prunty, MD
- Title
- Ceo Physician Owner
- Phone
- (270) 338-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22988 | KY | Primary |
Addresses
Primary practice location
601 Greene Dr
Greenville, KY 42345-1451
Mailing address
601 Greene Dr
Family Practice of Greenville PSC
Greenville, KY 42345-1451
Phone (270) 338-0600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64229883 | Medicaid | KY | |
| 000000048338 | Other | KY | ANTHEM BCBS |
| 080193902 | Other | RAILROAD MEDICARE |
Other names 1
- Marshall E Prunty MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294099200000",
"number": "1891813986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 GREENE DR",
"address_2": "FAMILY PRACTICE OF GREENVILLE PSC",
"city": "GREENVILLE",
"state": "KY",
"postal_code": "423451451",
"telephone_number": "270-338-0600",
"fax_number": "270-338-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 GREENE DR",
"city": "GREENVILLE",
"state": "KY",
"postal_code": "423451451",
"telephone_number": "270-338-0600",
"fax_number": "270-338-0605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE OF GREENVILLE PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2011-01-04",
"status": "A",
"authorized_official_last_name": "PRUNTY",
"authorized_official_first_name": "MARSHALL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CEO PHYSICIAN OWNER",
"authorized_official_telephone_number": "270-338-0600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": "22988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64229883",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000048338",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080193902",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marshall E Prunty MD",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Greenville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.