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NPI Code Detail

MEDICARE: TAMARA JAMES M.D.

MEDICARE: TAMARA JAMES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician26117KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14000501OTHERKYMEDICARE LAB GROUP#
2CB5773OTHERKYRR MEDICARE GROUP#
6ASC 1019OTHERKYASC MEDICARE GROUP#

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366468423
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA JAMES M.D.
Provider Business Mailing Address
First Line : 160 N EAGLE CREEK DR
Second Line : SUITE 400
City : LEXINGTON
State : KY
Zip : 40509-2121
Country : US
Telephone Number : 859-258-5220
Fax Number : 859-258-5405
Provider Business Practice Location Address
First Line : 160 N EAGLE CREEK DR
Second Line : SUITE 400
City : LEXINGTON
State : KY
Zip : 40509-2121
Country : US
Telephone Number : 859-258-5220
Fax Number : 859-258-5405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 11/02/2007

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Directions to “ TAMARA JAMES M.D.” Practice Location

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