SPECIALTY PHYSICIAN ASSISTANT,LLC
SPECIALTY PHYSICIAN ASSISTANT,LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1528484037, based in Elkhorn City, KY. The organization lists 4 taxonomy classifications, with Clinic/Center recorded as primary.
Getting there
The practice address on file is 17401 KY HIGHWAY 80 E, Elkhorn City, KY 41522. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6608188438
- Enrollment ID
- O20150707002590
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinic/Center covers
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUCC Health Care Provider Taxonomy, code 261Q00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | — | KY | |
| 363A00000X | Physician Assistant | — | KY | |
| 363L00000X | Nurse Practitioner | — | KY | |
| 261Q00000X | Clinic/Center | — | KY | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1528484037 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 7, 2014 |
| Last updated | Nov 29, 2023 |
| Status | Active |
| Practice address |
17401 KY HIGHWAY 80 E Elkhorn City, KY 41522 (606) 754-7100 Fax (606) 754-0770 |
| Mailing address |
PO BOX 2122 Pikeville, KY 41502 |
| Other names |
Russell Fork Walk-in Clinic Former Legal Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 2 | 8 | 4 | 8 | 4 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 4 | 8 | 8 | 8 | 8 | 0 | 6 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.