MERCY HEALTH PHYSICIANS KENTUCKY LLC NPI 1922243690

NPI Information

NPI: 1922243690
Provider Name: MERCY HEALTH PHYSICIANS KENTUCKY LLC

Former Legal Business Name: MERCY MEDICAL ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1530 LONE OAK RD
PADUCAH, KY
ZIP 42003
Phone: (270) 415-3886
Get Directions

MERCY HEALTH PHYSICIANS KENTUCKY LLC is a family medicine in Paducah, 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. MERCY HEALTH PHYSICIANS KENTUCKY LLC NPI is 1922243690. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Mercy Medical Associates.

The provider's business location address is:

1530 LONE OAK RD
PADUCAH, KY
ZIP 42003-901
Phone: (270) 415-3886
Fax: (270) 415-3885

The provider's authorized official is Shane Hardy .
The authorized official title is Cfo, Medical Group and has the following contact phone number (513) 869-5016.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 7/7/2020.

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 State	Primary
1	367500000X	Nurse Anesthetist, Certified Registered			No
2	2084P0800X	Psychiatry & Neurology	Psychiatry		No
3	208600000X	Surgery			No
4	2086S0129X	Surgery	Vascular Surgery		No
5	231H00000X	Audiologist			No
6	363A00000X	Physician Assistant			No
7	363L00000X	Nurse Practitioner			No
8	103TC0700X	Psychologist	Clinical		No
9	207P00000X	Emergency Medicine			No
10	207RC0000X	Internal Medicine	Cardiovascular Disease		No
11	207RG0100X	Internal Medicine	Gastroenterology		No
12	207V00000X	Obstetrics & Gynecology			No
13	207X00000X	Orthopaedic Surgery		KENTUCKY	No
14	208000000X	Pediatrics			No
15	207Q00000X	Family Medicine			Yes

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
1	000000745544	OTHER	KENTUCKY	ANTHEM EMERGENCY MEDICINE NP/PA GROUP
2	7100287920	MEDICAID	KENTUCKY
3	000000612866	OTHER	KENTUCKY	ANTHEM MULTI-SPECIALTY GROUP
4	DP1212	OTHER	KENTUCKY	RAILROAD MEDICARE PTAN
5	000000696360	OTHER	KENTUCKY	ANTHEM EMERGENCY MEDICINE GROUP
6	7100287720	MEDICAID	KENTUCKY
7	7100287830	MEDICAID	KENTUCKY

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

NPI Synchronization or Removal

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