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SAINT MARK'S FAMILY AND SPECIALTY CLINIC
NPI 1497817944
Internal Medicine in Jackson, KY

Active since December 14, 2006CLIA 18D1003602 · Waiver
95 JACKSON HTS, JACKSON, KY 41339(606) 693-0199(606) 693-0299 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Saint Mark's Family And Specialty Clinic NPPES

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

SAINT MARK'S FAMILY AND SPECIALTY CLINIC (NPI 1497817944) is a healthcare organization registered as an internal medicine in Jackson, Kentucky and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists June Abadilla, Partner, as its authorized official.

NPPES Registry Identity

NPI1497817944
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAMILY MEDICAL SPECIALTY CLINIC D.B.A.
Location Address95 JACKSON HTSJackson, KY 41339-6500
Mailing Address4 Jackson HtsJackson, KY 41339-6500 · (606) 666-7040 · Fax (606) 666-7088
Phone(606) 693-0199
Fax(606) 693-0299
Organization SubpartNo
Authorized OfficialJune AbadillaPartner · (606) 666-7040
Enumeration DateDecember 14, 2006
Last NPPES UpdateApril 15, 2008
✔ NPI 1497817944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
95 JACKSON HTS, Jackson, KY 41339
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Other Names 1

Doing Business AsSaint Mark's Family And Specialty Clinic

Other Identifiers 2

Medicare PIN7944KY
Medicaid31000904KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 18D1003602

Family Medical Specialty Clinic · Jackson, KY
Active · expires Aug 19, 2027
CLIA Number18D1003602
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorDr. Melecio Abordo
Laboratory Phone(606) 693-0199
Laboratory LocationFamily Medical Specialty Clinic12 Jackson Heights Drive, Jackson, KY 41339
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CLEMENTE V. ZULUETA, JR., MD, PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
95 JACKSON HTS, STE 201
JACKSON, KY 41339
Breathitt County (606) 693-1078
CLEMENTE V. ZULUETA JR. MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
95 JACKSON HTS, STE 201
JACKSON, KY 41339
Breathitt County (606) 693-1078

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 Family Medical Specialty Clinic D.B.A.'s NPI number?

The NPI number for Family Medical Specialty Clinic D.B.A. is 1497817944. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Saint Mark's Family And Specialty Clinic.

Where is Family Medical Specialty Clinic D.B.A. located?

Family Medical Specialty Clinic D.B.A. is located at 95 Jackson Hts, Jackson, KY 41339. The listed phone number is (606) 693-0199.

What is Family Medical Specialty Clinic D.B.A.'s specialty?

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

Does Family Medical Specialty Clinic D.B.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1003602) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Medical Specialty Clinic D.B.A. was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.