Prestonsburg Primary Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRESTONSBURG PRIMARY CARE PLLC

Practice address

535 N Lake Dr
Prestonsburg, KY 41653-1278

Phone

(606) 886-8466

Fax

(606) 886-0250

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Blake R Burchett, MD

Title

Member

Phone

(606) 886-8466

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1942554068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531278",
            "telephone_number": "606-886-8466",
            "fax_number": "606-886-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531278",
            "telephone_number": "606-886-8466",
            "fax_number": "606-886-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTONSBURG PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "BURCHETT",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "606-886-8466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K068190",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100223400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Preston, BA
• Rachel Preston
• Prestonsburg Health Center, Inc.
• Prestonsburg Pharmacist Group LLC
• Prestonsburg Pharmacist Group LLC
• Andrew Prewitt
• Elizabeth Price-Slone
• Geri Price
• Richard Price
• Austin Prince

• Family Medicine Physician in Prestonsburg, KY
• Providers in Prestonsburg, 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 May 5, 2015; 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.