MD Partners, PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MD PARTNERS, PLLC

Practice address

615 Old Symsonia Rd
Benton, KY 42025-5042

Phone

(270) 744-9600

Fax

(270) 744-0834

NPI assigned

Jan 19, 2011

Last updated

Mar 27, 2020By 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

Richard D. Wilson

Title

Cfo

Phone

(270) 210-0399

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 9

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.

• Meredith A Crider, APRN

  • Primary Care Nurse Practitioner
  • Benton, KY
  • NPI 1447713623
  Medicare reassignment Care Compare group NPD
• Whitley Jo Swift, APRN

  • Family Nurse Practitioner
  • Paducah, KY
  • NPI 1245854355
  Medicare reassignment Care Compare group NPD
• Gretta Nicole Thomasson, APRN

  • Family Nurse Practitioner
  • Benton, KY
  • NPI 1669369468
  Medicare reassignment Care Compare group NPD
• Richard Scott Wilson, M.D.

  • Internal Medicine Physician
  • Paducah, KY
  • NPI 1952508715

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Robert Beale, MD

  • Surgery Physician
  • Benton, KY
  • NPI 1992724645
  Medicare reassignment NPD
• Todd Bohannon, MD

  • Emergency Medicine Physician
  • Benton, KY
  • NPI 1740381276
  Medicare reassignment NPD
• Thomas Perry Colley, APRN

  • Family Nurse Practitioner
  • Benton, KY
  • NPI 1851894471
  Medicare reassignment NPD
• Toni Shantel Gordon-Bailey, APRN

  • Nurse Practitioner
  • Benton, KY
  • NPI 1568091270
  Medicare reassignment NPD
• Ali Janell Jessee, D.O.

  • Emergency Medicine Physician
  • Benton, KY
  • NPI 1396922118
  Medicare reassignment NPD

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1902101124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 OLD SYMSONIA RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255042",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-210-0399"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100156040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Hugh Mathis, D.C.
• Maureen G Holmgren Nimmo (Nimmo Home Health Care)
• McClure Community Living Supports
• Casey McIntosh
• Lynita Kay McWaters, RPH
• Teresa Mears, RPH
• Mercy Health-Lourdes Hospital LLC (Mercy Health - Marshall Family Medicine, Internal Medicine & Pediatric)
• Caitlin Grace Merritt, M.S. CCC-SLP
• Mid-State Investments LLC
• Mind Your Mentality

• Emergency Medicine Physician in Benton, KY
• Providers in Benton, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.