ADVANCED INTERNAL MEDICINE PLLC
NPI 1336563543
Internal Medicine in Paducah, KY

Active since February 07, 2014CLIA 18D2080497 · Waiver
2005 BROADWAY ST, PADUCAH, KY 42001(270) 366-7650(270) 443-0660 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Internal Medicine Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED INTERNAL MEDICINE PLLC (NPI 1336563543) is a healthcare organization registered as an internal medicine in Paducah, Kentucky and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through July 8, 2028, maintains a secondary practice location in Paducah, and lists Ryan Curtis Frazine, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1336563543
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameADVANCED INTERNAL MEDICINE PLLC
Location Address2005 BROADWAY STPaducah, KY 42001-7107
Mailing Address2005 Broadway StPaducah, KY 42001-7107 · (270) 366-7650 · Fax (270) 443-0600
Fax(270) 443-0660
Organization SubpartNo
Authorized OfficialRyan Curtis FrazineSole Member · (270) 994-2625
Enumeration DateFebruary 7, 2014
Last NPPES UpdateDecember 29, 2022
NPPES CertifiedDecember 29, 2022
NPI 1336563543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2005 BROADWAY ST, Paducah, KY 42001

Secondary Practice Location 1

Location 12005 Broadway StPaducah, KY 42001-7107 · Phone (270) 366-7650 · Fax (270) 443-0600

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2080497

Advanced Internal Medicine, PLLC · Paducah, KY
Active · expires Jul 8, 2028
CLIA Number18D2080497
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorDr. Ryan C. Frazine
Laboratory Phone(270) 366-7650
Laboratory LocationAdvanced Internal Medicine, PLLC2005 Broadway Street, Paducah, KY 42001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
2005 BROADWAY ST
PADUCAH, KY 42001
Internal Medicine
2005 BROADWAY ST
PADUCAH, KY 42001
Nurse Practitioner (Family)
2005 BROADWAY ST
PADUCAH, KY 42001
Physician Assistant
2005 BROADWAY ST
PADUCAH, KY 42001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Internal Medicine PLLC's NPI number?

The NPI number for Advanced Internal Medicine PLLC is 1336563543. It was assigned to this organization in the NPPES registry on February 7, 2014.

Where is Advanced Internal Medicine PLLC located?

Advanced Internal Medicine PLLC is located at 2005 Broadway St, Paducah, KY 42001. The listed phone number is (270) 366-7650.

What is Advanced Internal Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Advanced Internal Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2080497) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Internal Medicine PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Advanced Internal Medicine PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Internal Medicine PLLC was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.