Glasgow Urgent Clinic, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GLASGOW URGENT CLINIC, INC

Doing business as

Scottsville Urgent Clinic

Practice address

218 North Court Street
Scottsville, KY 42164-1440

Phone

(270) 237-4899

Fax

(270) 237-4466

NPI assigned

Sep 8, 2005

Last updated

Jan 2, 2014By 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

Mr. Kenny Joe Manion, MDNPI 1518951896

Title

Owner/Ceo/MD

Phone

(270) 651-7796

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Scottsville Urgent Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Glasgow Urgent Clinic Inc

  • Rural Health Clinic/Center
  • Glasgow, KY
  • NPI 1376537654

  3274515465

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Glasgow Urgent Clinic Inc

  • Rural Health Clinic/Center
  • Glasgow, KY
  • NPI 1376537654

  O20040602000720

  Same enrollment
• Glasgow Urgent Clinic Inc

  dba Greenwood Urgent Clinic

  • Family Medicine Physician
  • Bowling Green, KY
  • NPI 1386638666

  O20040602000720

  Same enrollment

Locations

Practitioners 3

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.

• Kenny Joe Manion, MD

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1518951896
  Medicare reassignment Care Compare group Authorized official
• Kasey Danielle Lee, APRN

  • Family Nurse Practitioner
  • Glasgow, KY
  • NPI 1295345940
  Medicare reassignment Care Compare group NPD
• Mary Eleanor Harkleroad, MD

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1003879586
  Medicare reassignment NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1922092642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 NORTH COURT STREET",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641440",
            "telephone_number": "270-237-4899",
            "fax_number": "270-237-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 NORTH COURT STREET",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421641440",
            "telephone_number": "270-237-4899",
            "fax_number": "270-237-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASGOW URGENT CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER/CEO/MD",
        "authorized_official_telephone_number": "270-651-7796",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "24806",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65933772",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsville Urgent Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Jo Ford, APRN
• Jodie Ford, MS, CCC/SLP
• Colin Grant Fultz, D.C
• Miranda Lynn-Marie Gile, DC
• Glasgow Urgent Clinic, Inc (Scottsville Urgent Clinic)
• Glasgow Urgent Clinic, Inc. (Scottsville Urgent Clinic)
• Sara Brooke Graham
• Tovara Gray
• Tyler Grenier, RN
• McKenzie Grissom, MD

• Family Medicine Physician in Scottsville, KY
• Providers in Scottsville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.