Individual provider Active NPI

Andrew Hamon, MD

  • Emergency Medicine Physician
  • Danville, KY
National Provider Identifier
1063438448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
16247 Issued in KY
Practice address
217 S 3Rd St
Danville, KY 40422-1823
Phone
(859) 335-9041
Fax
(859) 335-9072
NPI assigned
Jul 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16247 KY Primary

Addresses

Primary practice location

217 S 3Rd St
Danville, KY 40422-1823

Mailing address

PO Box 1650
Akron, OH 44309-1650
Phone (330) 864-8900

Other identifiers 4

IdentifierTypeStateIssuer
405601015900OtherKYBWC
64083553MedicaidKY
P00230869OtherKYRR-MEDICARE
000000334922OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221229000320 KY Practitioner - Emergency Medicine 3173594686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Louisville School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Health of Kentucky, LLCGroup PAC ID 1052792041, 57 clinicians

Practice addresses (Care Compare)

177 Burt Rd
Lexington, KY 40503-2457
Phone (859) 687-9725

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Kentucky, LLC CurrentSince Sep 16, 2022 Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients

Locations

640 Wright Ave
Bowling Green, KY 42103
Phone (270) 495-4323

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

177 Burt Rd
Lexington, KY 40503
Phone (859) 276-1511

1017 DuPont Rd
Louisville, KY 40207
Phone (502) 365-4467

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063438448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091650",
            "telephone_number": "330-864-8900",
            "fax_number": "330-869-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221823",
            "telephone_number": "859-335-9041",
            "fax_number": "859-335-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMON",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "16247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "405601015900",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64083553",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR-MEDICARE",
            "identifier": "P00230869",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000334922",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.