Active NPI
Western Ky Family Health Care Inc
- Family Medicine Physician
- Mayfield, KY
National Provider Identifier
1982845889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WESTERN KY FAMILY HEALTH CARE INC
- Practice address
- 318 S 7TH St
Mayfield, KY 42066-2337 - Phone
- (270) 251-3223
- Fax
- (270) 251-3220
- NPI assigned
- Mar 23, 2009
- 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
- Dr. Jeffrey Alan Carrico, MD
- Title
- Owner
- Phone
- (270) 251-3223
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
318 S 7TH St
Mayfield, KY 42066-2337
Mailing address
318 S 7TH St
Mayfield, KY 42066-2337
Phone (270) 251-3223
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100090880 | Other | KY | MEDICAID GRP -ARNP |
| 7100083510 | Other | KY | MEDICAID GRP -PHY |
| 18D1098184 | Other | KY | CLIA WAVE |
Other names 1
- WKY FAMILY HEALTHCARE
National Provider Directory
National Provider DirectoryLocations
318 S 7th St
Mayfield, KY 42066
Phone (270) 251-3223
Interoperability endpoints
- https://api.platform.athenahealth.com/19092/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Paducah, KY
- NPI 1144813403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1982845889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 S 7TH ST",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420662337",
"telephone_number": "270-251-3223",
"fax_number": "270-251-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 S 7TH ST",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420662337",
"telephone_number": "270-251-3223",
"fax_number": "270-251-3220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN KY FAMILY HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-23",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "CARRICO",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-251-3223",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GRP -ARNP",
"identifier": "7100090880",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GRP -PHY",
"identifier": "7100083510",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA WAVE",
"identifier": "18D1098184",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WKY FAMILY HEALTHCARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.