Organization Active NPI

Joseph Prather II PSC

  • Family Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1902826217
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37348 Issued in KY
Legal business name
JOSEPH PRATHER II PSC
Practice address
100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975
Phone
(270) 763-6363
Fax
(270) 763-1247
NPI assigned
Jul 20, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mrs. Brenda G Jeffries
Title
Office Manager
Phone
(270) 763-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 37348 KY Primary

Addresses

Primary practice location

100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975

Mailing address

100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975
Phone (270) 763-6363

Other identifiers 1

IdentifierTypeStateIssuer
00485OtherKYMEDICARE GROUP #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1902826217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HELMWOOD PLAZA DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012975",
            "telephone_number": "270-763-6363",
            "fax_number": "270-763-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HELMWOOD PLAZA DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012975",
            "telephone_number": "270-763-6363",
            "fax_number": "270-763-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH PRATHER II PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-763-6363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "37348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "00485",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.