Individual provider Active NPI

Franklin W Fannin, M.D.

  • Emergency Medicine Physician
  • Ashland, KY
National Provider Identifier
1013050368
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R1106 Issued in KY
Practice address
2245 Winchester Ave
Ashland, KY 41101-7848
Phone
(606) 408-2600
Fax
(606) 408-2605
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R1106 KY Primary

Addresses

Primary practice location

2245 Winchester Ave
Ashland, KY 41101-7848

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-5044

Other identifiers 3

IdentifierTypeStateIssuer
3008739MedicaidOH
7100086410MedicaidKY
3810016650MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090722000252 KY Practitioner - Emergency MedicinePractitioner - Family Practice 1658447107 Reassigns benefits to 2 organizations
I20240412001992 IN Practitioner - Emergency Medicine 1658447107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

5130 Charlestown Rd
Suite 2
New Albany, IN 47150-9483
Phone (812) 542-4921

648 University Shopping Ctr
Richmond, KY 40475-2614
Phone (859) 623-1950

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
R1106KYMDEmergency Medicine Physician
TP697KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 10, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2018 Accepting new patients
Ashland Hospital Corporation CurrentSince Jul 26, 2010 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Emergency Medical Associates Emergency Medicine Past Accepting new patients
Our Lady of the Way Hospital, Inc Past Accepting new patients

Locations

800 Highlander Point Dr
Ste 103
Floyds Knobs, IN 47119
Phone (800) 434-5482

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

5130 Charlestown Rd
Ste 2
New Albany, IN 47150
Phone (812) 949-1577

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2245 Winchester Ave
Ashland, KY 41101
Phone (606) 408-2600

96 Future Dr
Corbin, KY 40701

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1013050368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017848",
            "telephone_number": "606-408-2600",
            "fax_number": "606-408-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNIN",
        "first_name": "FRANKLIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "R1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008739",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100086410",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016650",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.