MT WASHINGTON FAMILY PRACTICE PLLC NPI 1538295571

NPI Information

  • NPI: 1538295571
  • Provider Name: MT WASHINGTON FAMILY PRACTICE PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 532 BARDSTOWN RD N
    MT WASHINGTON, KY
    ZIP 40047
  • Phone: (502) 955-5800

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NPI Details

MT WASHINGTON FAMILY PRACTICE PLLC is a family medicine in Mt Washington, 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. MT WASHINGTON FAMILY PRACTICE PLLC NPI is 1538295571. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

532 BARDSTOWN RD N
MT WASHINGTON, KY
ZIP 40047
Phone: (502) 955-5800
Fax: (502) 538-3040

The provider's authorized official is Michael Steven Payne .
The authorized official title is Owner and has the following contact phone number (502) 955-5800.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 9/19/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine34039KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12443395000OTHERKENTUCKYPASSPORT ADVANTAGE
2H19623MEDICARE UPINKENTUCKY
364011109MEDICAIDKENTUCKY
40790901MEDICARE PINKENTUCKY
5DA9753OTHERKENTUCKYRAILROAD MEDICARE
67088131OTHERKENTUCKYAETNA
7000000306485OTHERKENTUCKYBCBS

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: 11/21/2025

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