Active NPI
John Wesley Prince Jr., MD
- Emergency Medicine Physician
- Flemingsburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36068
- Practice address
- 55 Foundation Dr
Flemingsburg, KY 41041-9815 - Phone
- (859) 335-9041
- Fax
- (859) 335-9072
- NPI assigned
- Jul 24, 2006
- Last updated
- Dec 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36068 | KY | Primary |
Addresses
Primary practice location
55 Foundation Dr
Flemingsburg, KY 41041-9815
Mailing address
PO Box 1650
Akron, OH 44309-1650
Phone (330) 864-8900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000259709 | Other | KY | ANTHEM |
| 50005474 | Other | KY | PASSPORT |
| P00015881 | Other | KY | RR-MEDICARE |
| 64046618 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Hospital Dr
Barbourville, KY 40906-7363
Phone (606) 654-2412
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Rockcastle Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Pineville Community Health Center Inc | Current | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Rockcastle County Hospital, Inc. | Past | Accepting new patients | |
| Pineville Community Health Center Inc | Past | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351
60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195
850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
Interoperability endpoints
- rhcjprince@yourcarecommunity.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Pineville, KY
- NPI 1992964944
-
- Certified Registered Nurse Anesthetist
- Pineville, KY
- NPI 1275192924
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- General Acute Care Hospital
- Pineville, KY
- NPI 1285292219
-
dba Rockcastle Regional Hospital and Respiratory Care Center
- General Acute Care Hospital
- Mount Vernon, KY
- NPI 1104890714
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pineville, KY
- NPI 1285292219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1962424382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1650",
"city": "AKRON",
"state": "OH",
"postal_code": "443091650",
"telephone_number": "330-864-8900",
"fax_number": "330-869-8924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FOUNDATION DR",
"city": "FLEMINGSBURG",
"state": "KY",
"postal_code": "410419815",
"telephone_number": "859-335-9041",
"fax_number": "859-335-9072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "JOHN",
"middle_name": "WESLEY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "36068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000259709",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50005474",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR-MEDICARE",
"identifier": "P00015881",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64046618",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flemingsburg, KY
- Thomas Scott Perkins, D.M.D.
- Pioneer Trace Group, LLC
- William R Poczatek, NP
- Angela Faye Poston, MSN, APRN, FNP-C
- Jill S. Price, DMD
- Kimberley K Privett, NURSE PRACTITIONER
- Leah Pugh, LPCC
- Katherine Gayle Rudolph
- Saint Joseph Health System, Inc (CHI Saint Joseph Mount Sterling Outpatient Rehab-Flemingsburg)
- Samuel W. Gehring, PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.