Organization Active NPI

East Ky Clinic

  • Internal Medicine Physician
  • Paintsville, KY
National Provider Identifier
1902147713
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST KY CLINIC
Practice address
538 Main Street
Paintsville, KY 41240
Phone
(606) 789-6086
Fax
(606) 789-3811
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Loey J. Kousa, MD
Title
MD
Phone
(606) 789-6086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

538 Main Street
Paintsville, KY 41240

Mailing address

538 Main St
Paintsville, KY 41240-1046
Phone (606) 789-6086

National Provider Directory

National Provider Directory

Locations

538 Main St
Paintsville, KY 41240
Phone (606) 789-4822

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1902147713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 MAIN ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401046",
            "telephone_number": "606-789-6086",
            "fax_number": "606-789-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 MAIN STREET",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240",
            "telephone_number": "606-789-6086",
            "fax_number": "606-789-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST KY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "KOUSA",
        "authorized_official_first_name": "LOEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "606-789-6086",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.