Provider Type Icon

VERSAILLES FAMILY MEDICINE PLLC NPI 1548316763


NPI Information

NPI: 1548316763
Provider Name: VERSAILLES FAMILY MEDICINE, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D1064434

Address:
460 WILSON AVE
FIRST FLOOR
VERSAILLES, KY
ZIP 40383
Phone: (859) 879-0111
Get Directions

VERSAILLES FAMILY MEDICINE, PLLC is a family medicine in Versailles, 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. VERSAILLES FAMILY MEDICINE, PLLC NPI is 1548316763. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

460 WILSON AVE
FIRST FLOOR
VERSAILLES, KY
ZIP 40383-947
Phone: (859) 879-0111
Fax: (859) 879-0363

The provider's authorized official is Brian A Smith .
The authorized official title is Owner and has the following contact phone number (859) 879-0111.

The CLIA number assigned to this NPI record is 18D1064434 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/28/2007 and was last updated on 5/19/2022.


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 MedicineNo
2363A00000XPhysician AssistantNo
3363AM0700XPhysician AssistantMedicalNo
4363LA2200XNurse PractitionerAdult HealthNo
5363LF0000XNurse PractitionerFamilyNo
6207Q00000XFamily Medicine40454KENTUCKYYes

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: 5/5/2024

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.