Individual provider Active NPI

Sara B. Gilbert, PAC

  • Physician Assistant
  • Paducah, KY
National Provider Identifier
1972757920
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1037 Issued in KY
Practice address
2601 Kentucky Ave
Suite 301
Paducah, KY 42003-3817
Phone
(270) 575-3113
Fax
(270) 575-3135
NPI assigned
Nov 4, 2008
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1037 KY Primary

Addresses

Primary practice location

2601 Kentucky Ave
Suite 301
Paducah, KY 42003-3817

Mailing address

PO Box 7648
Paducah, KY 42002-7648
Phone (800) 467-2392

Other names 1

  • Sara Michelle Butler Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120004324 KY Practitioner - Physician Assistant 2769539824 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1504SCMDPhysical Therapy Assistant
PA1037KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Em-I Medical Services PSC Physician Assistant CurrentSince Nov 1, 2024 Accepting new patients
Western Baptist Medical Ventures, Inc. Past Accepting new patients
Western Kentucky Cardiology Consultants, PSC Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1972757920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7648",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027648",
            "telephone_number": "800-467-2392",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KENTUCKY AVE",
            "address_2": "SUITE 301",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033817",
            "telephone_number": "270-575-3113",
            "fax_number": "270-575-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "SARA",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BUTLER",
            "middle_name": "MICHELLE",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.