NPIMap

Organization Active NPI

Hardin County Primary Care PLLC

  • Nephrology Physician
  • Elizabethtown, KY
National Provider Identifier
1124419668
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17871 Issued in KY
Legal business name
HARDIN COUNTY PRIMARY CARE PLLC
Practice address
912 Woodland Dr
Suite B
Elizabethtown, KY 42701-2795
Phone
(270) 765-5112
Fax
(270) 737-9252
NPI assigned
Feb 5, 2015
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Dr. Mahendra M Patel, MDNPI 1043389885
Title
President
Phone
(270) 765-5112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 17871 KY Primary

Addresses

Primary practice location

912 Woodland Dr
Suite B
Elizabethtown, KY 42701-2795

Mailing address

912 Woodland Dr
Suite B
Elizabethtown, KY 42701-2795
Phone (270) 765-5112

National Provider Directory

National Provider Directory

Locations

105 Financial Pl
Ste 103A
Elizabethtown, KY 42701

Practitioners & affiliated clinicians

Practitioners 1

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": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1124419668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 WOODLAND DR",
            "address_2": "SUITE B",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012795",
            "telephone_number": "270-765-5112",
            "fax_number": "270-737-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WOODLAND DR",
            "address_2": "SUITE B",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012795",
            "telephone_number": "270-765-5112",
            "fax_number": "270-737-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIN COUNTY PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-765-5112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "17871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.