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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 65942906 | 05 |
Street Address |
50 LOVELL COURT |
City | MOUNT VERNON |
State | KY |
Zip Code | 40456-2964 |
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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
City | MOUNT VERNON |
Zip Code | 40456 |
Please comment or provide details below to improve the information on ADVANCED FAMILY MEDICAL CLINIC MOUNT VERNON.
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.