Stanford Family Medicine & Obstetrics PSC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

30199 Issued in KY

Legal business name

STANFORD FAMILY MEDICINE & OBSTETRICS PSC

Practice address

19 Abes Plaza
Old Hustonville Rd
Liberty, KY 42539

Phone

(606) 787-0014

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Naren James, M.D.

Title

Owner

Phone

(606) 365-8338

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1891836581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 METKER TRL STE A",
            "address_2": "P.O. BOX 388",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841049",
            "telephone_number": "606-365-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ABES PLAZA",
            "address_2": "OLD HUSTONVILLE RD",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "42539",
            "telephone_number": "606-787-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD FAMILY MEDICINE & OBSTETRICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "NAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-365-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "KY",
            "license": "30199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CB 2572",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65907727",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P00118851",
            "identifier": "RR MEDICARE PIN",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE0433",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Sloane, PT
• Elissa Smith, OTR/L
• Jacklyn Elaine Spagnoletti
• Brooke Sprowles, PHARM D.
• Phyllis Reynolds Spurlin, R,PH.
• Regina A Stevens
• Dawn Renee Stotts, P.T.A.
• Hanna Marie Strickland, CPM
• Three Hearts
• Michael L Turner II, D.C.

• Legal Medicine in Liberty, KY
• Providers in Liberty, KY by specialty
• Legal Medicine in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.