ADVANCED FAMILY MEDICAL CLINIC MOUNT VERNON


Address: 50 Lovell Court, Mount Vernon, KY 40456-2964
Phone: 8596910201

ADVANCED FAMILY MEDICAL CLINIC MOUNT VERNON (NPI# 1578090403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578090403
Entity Type Organization
Organization Name ADVANCED FAMILY MEDICAL CLINIC MOUNT VERNON
Practice Address 50 Lovell Court
Mount Vernon
KY 40456-2964
Mailing Address 50 Lovell Ct
Mount Vernon
KY 40456-2964
Practice Telephone 8596910201
Mailing Telephone 6063922060
Mailing Fax Number 6066551030
Enumeration Date 2017-05-23
Last Update Date 2020-02-27
Authorized Official Name DR. KHURSHEED AKRAM SIDDIQUI (MEDICAL DIRECTOR)
Authorized Official Telephone 8596910201
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities
Y 207Q00000X Family Medicine 28741 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 65942906 05

Office Location

Street Address 50 LOVELL COURT
City MOUNT VERNON
State KY
Zip Code 40456-2964

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700274248 Angela Joy Silva Counselor 20 Lovell Court, Mt Vernon, KY 40456 2015-01-07
1992128045 Health Help Inc Pharmacy 116 Progress Drive, Mount Vernon, KY 40456 2014-01-27
1376703017 Cumberland Valley Dist Health Dept Public Health or Welfare 1545 Lake Cumberland Road, Mt Vernon, KY 40456 2008-06-16
1386803401 Mt Vernon Partials and Dentures Denturist 571 Richmond Street, Mt Vernon, KY 40456 2008-06-04
1285817973 Lloyd L. Cain O.d Eyewear Supplier (Equipment, not the service) 205 Richmond Street, Mount Vernon, KY 40456 2007-12-17
1669652210 Main Street Pharmacy LLC Durable Medical Equipment & Medical Supplies 150 Main Street Pharmacy, Mt Vernon, KY 40456 2007-11-13
1952516197 Suzann Fenton Specialist 4192 Wilderness Rd, Mt. Vernon, KY 40456 2007-05-11
1659595304 Rockcastle County Adult Health Care Clinic/Center 1260 S. Wilderness Road, Mount Vernon, KY 40456 2007-04-12
1790909075 Teresa Blair Dietitian, Registered 145 Newcomb Ave., Rockcastle Hospital, Mt Vernon, KY 40456 2007-04-11
1972622066 Tracy Renee King Pharmacist 110 Newcomb Avenue, Mt. Vernon, KY 40456 2007-03-28
Find all providers in zip 40456

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669084299 Jean Woel Latortue Family Medicine 506 State Tx Hwy 37, Mount Vernon, TX 75457 2020-08-17
1144693250 David B. Benson, Md, Pllc Family Medicine 1603 S 3rd St, Mount Vernon, WA 98273-4909 2015-11-11
1245617828 Choudhry Nadeem Mumtaz Family Medicine 209 Crossroads Pl Ste 120, Mount Vernon, IL 62864-6545 2015-05-02
1801221403 Docrx, Inc. Family Medicine 4200 Williamson Pl, Mount Vernon, IL 62864-6705 2013-09-13
1457605909 Docrx Inc Family Medicine 209 Crossroads Pl Ste 100, Mount Vernon, IL 62864-6545 2012-11-06
1427310473 Jonathan Titus Hardin Family Medicine 1330 Coschocton Road, Mount Vernon, OH 43050 2012-06-14
1760750467 Lower Oconee Community Hospital, Inc. Family Medicine 421 W Robinson Drive, Mount Vernon, GA 30445 2011-12-08
1336435049 Benjamin Mclaughlin Family Medicine 819 S 13th St, Mount Vernon, WA 98274-4112 2011-06-21
1851600845 Janet K Christiansen Family Medicine 13301 Egbers Kalso Rd, Mount Vernon, WA 98273-8207 2010-09-25
1538483722 Lynette Marie Emery Family Medicine 17879 Valley Ridge Ln, Mount Vernon, WA 98274-7743 2010-03-17
Find all providers in MOUNT VERNON

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City MOUNT VERNON
Zip Code 40456

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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