Organization Active NPI

Frank Daniel Mongiardo M.D. P.S.C

Doing business as Appalachian Regional Head & Neck Center

  • Otolaryngology/Facial Plastic Surgery Physician
  • Hazard, KY
National Provider Identifier
1063552529
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
25357 Issued in KY
Legal business name
FRANK DANIEL MONGIARDO M.D. P.S.C
Doing business as
Appalachian Regional Head & Neck Center
Practice address
200 Medical Center Dr
Suite 2N
Hazard, KY 41701-9466
Phone
(606) 439-4466
Fax
(606) 439-1941
NPI assigned
Feb 7, 2007
Last updated
Dec 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Mr. Frank Daniel Mongiardo, M.D.NPI 1619048139
Title
M.D.
Phone
(606) 439-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4979P KY
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 25357 KY Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 2N
Hazard, KY 41701-9466

Mailing address

200 Medical Center Dr
Suite 2N
Hazard, KY 41701-9466
Phone (606) 439-4466

Other names 1

  • Appalachian Regional Head & Neck Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816000297 KY Part B Supplier - Clinic/Group Practice 0941230312 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY; London, KY; Somerset, KY; Hazard, KY

National Provider Directory

National Provider Directory

Locations

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

230 Fountain Ct
Ste 120
Lexington, KY 40509
Phone (859) 276-4838

2708 Old Rosebud Rd
Fl 2
Lexington, KY 40509
Phone (606) 439-4466

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1063552529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 2N",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-439-4466",
            "fax_number": "606-439-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 2N",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-439-4466",
            "fax_number": "606-439-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK DANIEL MONGIARDO M.D. P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "MONGIARDO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "606-439-4466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4979P",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "KY",
            "license": "25357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Regional Head & Neck Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.