Active NPI
Prime Consultants, PLLC
- Anesthesiology Physician
- Louisville, KY
National Provider Identifier
1972007813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 43519
- Legal business name
- PRIME CONSULTANTS, PLLC
- Practice address
- 4004 Dupont Cir
Louisville, KY 40207-4819 - Phone
- (859) 268-1030
- Fax
- (859) 269-4120
- NPI assigned
- Mar 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel J King II, MD
- Title
- Owner
- Phone
- (859) 268-1030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 43519 | KY | Primary |
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
4004 Dupont Cir
Louisville, KY 40207-4819
Mailing address
425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521763200000",
"number": "1972007813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 LEWIS HARGETT CIR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033590",
"telephone_number": "859-268-1030",
"fax_number": "859-269-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 DUPONT CIR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074819",
"telephone_number": "859-268-1030",
"fax_number": "859-269-4120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME CONSULTANTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-268-1030",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "KY",
"license": "43519",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.