NPIMap

Organization Active NPI

Proudfoot & Associates, PSC

Doing business as Cave Run Clinic

  • Urology Physician
  • Morehead, KY
National Provider Identifier
1932237211
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
24696 Issued in KY
Legal business name
PROUDFOOT & ASSOCIATES, PSC
Doing business as
Cave Run Clinic
Practice address
245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone
(606) 783-7689
Fax
(606) 784-5671
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Sharlet N Kidd
Title
Manager/Credentialing
Phone
(606) 784-9142

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 24696 KY Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 39293 KY

Addresses

Primary practice location

245 Flemingsburg Rd
Morehead, KY 40351-1015

Mailing address

PO Box 1145
Morehead, KY 40351-5145
Phone (606) 783-7689

Other identifiers 1

IdentifierTypeStateIssuer
65901597MedicaidKY

Other names 1

  • Cave Run Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1932237211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403515145",
            "telephone_number": "606-783-7689",
            "fax_number": "606-784-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FLEMINGSBURG RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511015",
            "telephone_number": "606-783-7689",
            "fax_number": "606-784-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUDFOOT & ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "SHARLET",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER/CREDENTIALING",
        "authorized_official_telephone_number": "606-784-9142"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "KY",
            "license": "24696",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "KY",
            "license": "39293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65901597",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cave Run Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cave Run Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.