Provider Type Icon

WINCHESTER FAMILY PRACTICE PSC NPI 1528094281


NPI Information

NPI: 1528094281
Provider Name: WINCHESTER FAMILY PRACTICE, PSC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D1002041

Address:
1110 MCCANN DR
SUITE B
WINCHESTER, KY
ZIP 40391
Phone: (859) 744-1445
Get Directions

WINCHESTER FAMILY PRACTICE, PSC is a family medicine in Winchester, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WINCHESTER FAMILY PRACTICE, PSC NPI is 1528094281. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1110 MCCANN DR
SUITE B
WINCHESTER, KY
ZIP 40391-157
Phone: (859) 744-1445
Fax: (859) 744-1442

The provider's authorized official is Amina Shalash .
The authorized official title is Owner and has the following contact phone number (859) 744-1445.

The CLIA number assigned to this NPI record is 18D1002041 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/24/2006 and was last updated on 2/15/2008.


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 Medicine36085KENTUCKYYes

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
135001445MEDICAIDKENTUCKY
2H52234MEDICARE UPINKENTUCKY
37241MEDICARE PINKENTUCKY
4183903MEDICARE OSCAR/CERTIFICATIONKENTUCKY

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.