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ELKTON CLINIC PSC
NPI 1457667461
Internal Medicine in Elkton, KY

Active since August 27, 2010CLIA 18D2016664 · Waiver
713 W MAIN ST, ELKTON, KY 42220(270) 265-5353 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elkton Clinic Psc NPPES

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

ELKTON CLINIC PSC (NPI 1457667461) is a healthcare organization registered as an internal medicine in Elkton, Kentucky and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Manoj H Majmudar, Owner, as its authorized official.

NPPES Registry Identity

NPI1457667461
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELKTON CLINIC PSC
Location Address713 W MAIN STElkton, KY 42220-9229
Mailing AddressPo Box 487Elkton, KY 42220-0487 · (270) 265-5353
Phone(270) 265-5353
Organization SubpartNo
Authorized OfficialManoj H MajmudarOwner · (270) 886-8840
Enumeration DateAugust 27, 2010
Last NPPES UpdateMarch 24, 2011
✔ NPI 1457667461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
713 W MAIN ST, Elkton, KY 42220
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Other Identifiers 1

Medicare PINP100030553

Group Practice 1

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

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 18D2016664

Elkton Clinic · Elkton, KY
Active · expires Nov 21, 2026
CLIA Number18D2016664
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorDr. Manoj H. Majmudar
Laboratory Phone(270) 265-5353
Laboratory LocationElkton Clinic713 West Main Street, Elkton, KY 42220
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 6

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

JENNIE STUART MEDICAL CENTER INC
Clinic/Center (Rural Health)
713 W MAIN ST
ELKTON, KY 42220
Todd County (270) 265-5353
DIETTA L GUESS APRN
Nurse Practitioner
713 W MAIN ST
ELKTON, KY 42220
Todd County (270) 265-5353
J COLLEEN RUSSELL CPNP, APRN
Nurse Practitioner (Pediatrics)
713 W MAIN ST
ELKTON, KY 42220
Todd County (270) 265-5353
MORGAN MURRAY APRN
Nurse Practitioner (Pediatrics)
713 W MAIN ST
ELKTON, KY 42220
Todd County (270) 265-5353
LELA LIVINGSTON APRN, FNP-C
Nurse Practitioner (Family)
713 W MAIN ST
ELKTON, KY 42220
Todd County (270) 265-5353
REGAN HANCOCK
Nurse Practitioner (Primary Care)
713 W MAIN ST
ELKTON, KY 42220
Todd County (270) 265-5353

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 Elkton Clinic Psc's NPI number?

The NPI number for Elkton Clinic Psc is 1457667461. It was assigned to this organization in the NPPES registry on August 27, 2010.

Where is Elkton Clinic Psc located?

Elkton Clinic Psc is located at 713 W Main St, Elkton, KY 42220. The listed phone number is (270) 265-5353.

What is Elkton Clinic Psc's specialty?

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

Does Elkton Clinic Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2016664) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elkton Clinic Psc was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.