Fred Park Hadley, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

19048 Issued in KY

Practice address

1401 Harrodsburg Rd
Ste C215
Lexington, KY 40504-3751

Phone

(859) 258-6450

Fax

(859) 258-6499

NPI assigned

Sep 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Urology

Education

University of Louisville School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Lexington Clinic PSC 329 clinicians

Kentuckyone Health Medical Group Inc 260 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph East Hospital, Lexington, KY, CCN 180143
• Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
• CHI Saint Joseph Berea NF Hospital, Berea, KY, CCN 181329

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fredhadley@kysjhspe.allscriptsdirect.net
• Direct secure messaging: fred.hadley.1@13059.direct.athenahealth.com

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.

• Kentuckyone Health Medical Group, Inc.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1104875970

  KY

  Medicare reassignment Care Compare group NPD
• New Lexington Clinic, PSC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1700803681

  KY

  Medicare reassignment Care Compare group NPD
• New Lexington Clinic PSC

  • Ambulatory Surgical Clinic/Center
  • Lexington, KY
  • NPI 1093595696
  Care Compare group
• New Lexington Clinic, PSC

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1144321951
  Care Compare group
• New Lexington Clinic, PSC

  • Ambulatory Surgical Clinic/Center
  • Lexington, KY
  • NPI 1881789964
  Care Compare group
• Kentuckyone Health Medical Group, Inc.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1205101458
  NPD
• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD
• New Lexington Clinic PSC

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1285409425
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Health System Inc

  • Clinical Medical Laboratory
  • Lexington, KY
  • NPI 1215227012

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Critical Access Hospital
  • Berea, KY
  • NPI 1740488386

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Clinic/Center
  • Nicholasville, KY
  • NPI 1861650814

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1154414548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "STE C215",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-258-6450",
            "fax_number": "859-258-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "STE C215",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-258-6450",
            "fax_number": "859-258-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "FRED",
        "middle_name": "PARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "19048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64190481",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron Haddad, OD
• Jamie Lee Haddix, APRN
• Rodney David Haddix, PHARM D
• Tara Haddix
• Donna J. Haddox, CRNA
• Kaelyn Boner Hadley, RPH
• Sarah Welch Haerle, DMD
• Jack Edwin Haffermann
• Emily Katharine Hagan, BCBA
• Kelly Lynn Hagan, M.A.

• All providers in Lexington, KY
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.