Organization Active NPI

C Krishnaswamy MD PSC

  • Neurology Physician
  • Hazard, KY
National Provider Identifier
1013196898
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
37430 Issued in KY
Legal business name
C KRISHNASWAMY MD PSC
Practice address
200 Medical Center Dr
Suite 3P
Hazard, KY 41701-9466
Phone
(606) 487-7955
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Chandrashekar Krishnaswamy
Title
MD
Phone
(606) 487-7955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 37430 KY Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 3P
Hazard, KY 41701-9466

Mailing address

PO Box 120
Hazard, KY 41702-0120
Phone (606) 487-7955

Other identifiers 2

IdentifierTypeStateIssuer
64054380MedicaidKY
000000373082OtherKYANTHEM BLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1013196898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020120",
            "telephone_number": "606-487-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 3P",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C KRISHNASWAMY MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "KRISHNASWAMY",
        "authorized_official_first_name": "CHANDRASHEKAR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "606-487-7955"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "37430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64054380",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000373082",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.