Organization Active NPI

Western Ky Family Health Care Inc

  • Family Medicine Physician
  • Mayfield, KY
National Provider Identifier
1982845889
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Sep 17, 2024

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7100090880OtherKYMEDICAID GRP -ARNP
7100083510OtherKYMEDICAID GRP -PHY
18D1098184OtherKYCLIA WAVE

Other names 1

  • WKY FAMILY HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

Locations

318 S 7th St
Mayfield, KY 42066
Phone (270) 251-3223

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.