PRIMARY CARE MEDICAL CENTER (NPI# 1255897625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255897625 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE MEDICAL CENTER |
| Practice Address |
1000 S 12th St Murray KY 42071-9303 |
| Practice Telephone | 2707599200 |
| Mailing Telephone | 2707599200 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | ROBERT C HUGHES (MANAGING PARTNER) |
| Authorized Official Telephone | 2707599200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114187622 | Primary Care Medical Center | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2008-06-10 |
| 1255367934 | Primary Care Medical Center | Non-Pharmacy Dispensing Site | 300 S 8th St, Ste 480w, Murray, KY 42071-2400 | 2006-06-24 |
| Street Address |
1000 S 12TH ST |
| City | MURRAY |
| State | KY |
| Zip Code | 42071-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208517 | Ralph D Millsaps | Internal Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2005-07-08 |
| 1952916827 | Kaitlyn Brooks Renard | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2020-09-08 |
| 1851909519 | Kissa Lynn Dibble | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2020-07-20 |
| 1831674654 | Vmd Primary Providers Central Kentucky | Family Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2018-09-27 |
| 1285117978 | Janna L French | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2018-09-10 |
| 1770090052 | Misty D Sanderson | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2018-01-08 |
| 1104348622 | Villagemd Kentucky, Psc | Internal Medicine | 1000 S 12th St, Murray, KY 42071 | 2017-07-17 |
| 1982124491 | Gina C Owens | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071 | 2017-06-26 |
| 1821538745 | Sharlotte Ashley Wilson | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2017-02-24 |
| 1033589973 | Mariah L Hamby | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| Find all providers in zip 42071 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447725247 | Shonti G. Breisch | Physician Assistant | 6150 S Vineway Cir, Murray, UT 84121-1947 | 2018-10-08 |
| 1043705866 | Jeffery Mccleve | Physician Assistant | 5323 S Woodrow St Ste 100, Murray, UT 84107-5842 | 2018-06-25 |
| 1518402098 | Philip John Swink | Physician Assistant | 650 E 4500 S Ste 100, Murray, UT 84107-4536 | 2016-12-20 |
| 1760849657 | Molly Ann Nowill | Physician Assistant | 5169 S Cottonwood St Ste 501a, Murray, UT 84107-6767 | 2016-01-22 |
| 1114399839 | Scott West | Physician Assistant | 5169 S Cottonwood St Ste 510, Murray, UT 84107-6770 | 2015-10-21 |
| 1679901169 | Jennifer Aileen Wight | Physician Assistant | 5169 S Cottonwood St Ste 440, Murray, UT 84107-6774 | 2013-10-22 |
| 1164728960 | Lex Kiyoshi Grimley | Physician Assistant | 5169 Cottonwood St Ste 520, Murray, UT 84107-6767 | 2011-01-27 |
| 1760618730 | Kelly Lynae Richardson | Physician Assistant | 5121 S Cottonwood St Ste 320, Murray, UT 84107-5701 | 2009-06-04 |
| 1184887051 | Meredith Evin Pike | Physician Assistant | 5450 S Green St, Murray, UT 84123-5632 | 2008-07-09 |
| 1215091525 | Matthew M Neddo | Physician Assistant | 5911 S Fashion Blvd, Murray, UT 84107-7352 | 2006-12-21 |
| Find all providers in MURRAY | ||||
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| 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.