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ROCKCASTLE VENTURES INC. DOING BUSINESS AS ROCKCASTLE CLINIC NPI 1134264799


NPI Information

NPI: 1134264799
Provider Name: ROCKCASTLE VENTURES INC. DOING BUSINESS AS ROCKCASTLE CLINIC

Doing Business As: ROCKCASTLE CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 18D0706966

Address:
140 NEWCOMB AVE
MOUNT VERNON, KY
ZIP 40456
Phone: (606) 256-5176
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ROCKCASTLE VENTURES INC. DOING BUSINESS AS ROCKCASTLE CLINIC is an internal medicine in Mount Vernon, KY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ROCKCASTLE VENTURES INC. DOING BUSINESS AS ROCKCASTLE CLINIC NPI is 1134264799. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rockcastle Clinic.

The provider's business location address is:

140 NEWCOMB AVE
MOUNT VERNON, KY
ZIP 40456-728
Phone: (606) 256-5176
Fax: (606) 256-4401

The provider's authorized official is Brandy L. Bullock .
The authorized official title is Director and has the following contact phone number (606) 256-7761.

The CLIA number assigned to this NPI record is 18D0706966 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/21/2007 and was last updated on 6/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine39587KENTUCKYNo
2207Q00000XFamily Medicine64035884KENTUCKYNo
3208000000XPediatricsNo
4363A00000XPhysician AssistantPA861KENTUCKYNo
5363L00000XNurse Practitioner4217PKENTUCKYNo
6207R00000XInternal Medicine25335KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I38222MEDICARE UPINKENTUCKY
21912058272OTHERDAVID BULLOCK NPI
3Q28251MEDICARE UPINKENTUCKY
465917437MEDICAIDKENTUCKY
52310MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYGROUP MEDICARE
664035884MEDICAIDKENTUCKY
71649298779OTHERNPI MICHAEL KEVIN ROWE
81639220916OTHERGINGER MINK CASH NPI
9Q06550MEDICARE UPINKENTUCKY
101205988235OTHERANGIE PARSON WOODS NPI
111881760569OTHERKAREN SAYLOR NPI
12H39547MEDICARE UPIN
13F13421MEDICARE UPINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.