Active NPI
Troy Dell Hyman, CST/CFA
- Surgical Physician Assistant
- Bowling Green, KY
National Provider Identifier
1104841378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA054
- Practice address
- 1725 Ashley Cir
Suite 211
Bowling Green, KY 42104-3337 - Phone
- (270) 782-0434
- Fax
- (270) 782-0564
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA054 | KY | Primary |
Addresses
Primary practice location
1725 Ashley Cir
Suite 211
Bowling Green, KY 42104-3337
Mailing address
76 Ivy Farm CT
Alvaton, KY 42122-9691
Phone (270) 843-0829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA054 | KY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Surgical Services, LLC | Surgical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Physician Assistant
- Bowling Green, KY
- NPI 1225228059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104841378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 IVY FARM CT",
"city": "ALVATON",
"state": "KY",
"postal_code": "421229691",
"telephone_number": "270-843-0829",
"fax_number": "270-782-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 ASHLEY CIR",
"address_2": "SUITE 211",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043337",
"telephone_number": "270-782-0434",
"fax_number": "270-782-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMAN",
"first_name": "TROY",
"middle_name": "DELL",
"name_prefix": "Mr.",
"credential": "CST/CFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "SA054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.