PADUCAH PRIMARY CARE, P.S.C.
NPI 1497892103
Internal Medicine in Paducah, KY

Active since January 31, 2007
4620 VILLAGE SQUARE DR, PADUCAH, KY 42001(270) 442-8575(270) 442-8783 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paducah Primary Care, P.s.c. NPPES

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

PADUCAH PRIMARY CARE, P.S.C. (NPI 1497892103) is a healthcare organization registered as an internal medicine in Paducah, Kentucky and active in the NPI registry since January 2007. The organization lists Ronald L Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1497892103
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePADUCAH PRIMARY CARE, P.S.C.
Location Address4620 VILLAGE SQUARE DRPaducah, KY 42001-7501
Mailing Address2601 Kentucky Ave, Suite 101Paducah, KY 42003-3817 · (270) 442-8575 · Fax (270) 442-8783
Fax(270) 442-8783
Organization SubpartNo
Authorized OfficialRonald L WilsonPresident · (270) 442-8575
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 21, 2019
NPI 1497892103 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 PractitionerTaxonomy 363L00000X
4620 VILLAGE SQUARE DR, Paducah, KY 42001

Other Identifiers 1

Medicaid65927717KY

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

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.

Clinic/Center (Rural Health)
4620 VILLAGE SQUARE DR
PADUCAH, KY 42001
Nurse Practitioner (Family)
4620 VILLAGE SQUARE DR
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 Paducah Primary Care, P.S.C.'s NPI number?

The NPI number for Paducah Primary Care, P.S.C. is 1497892103. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Paducah Primary Care, P.S.C. located?

Paducah Primary Care, P.S.C. is located at 4620 Village Square Dr, Paducah, KY 42001. The listed phone number is (270) 442-8575.

What is Paducah Primary Care, P.S.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Paducah Primary Care, P.S.C. was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.