Methodist Health, Inc.
Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Henderson, KY
NPI 1154567402 · NPPES record last updated Jun 27, 2019
Key facts
- NPI
- 1154567402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- Legal business name
- METHODIST HEALTH, INC.
- Practice address
- 1305 N Elm St Ste a
Henderson, KY 42420-2783 - Phone
- (270) 831-7937
- Fax
- (270) 831-7939
- NPI assigned
- Dec 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Benny J Nolen
- Title
- Ceo
- Phone
- (270) 827-7500
Other NPIs on the same Medicare enrollment 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000875 | KY | Part B Supplier - Clinic/Group Practice | 4981508454 |
Receives reassigned benefits from 127 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Morganfield, KY; Henderson, KY; Dixon, KY |
National Provider Directory
Locations
1305 N Elm St
Ste A
Henderson, KY 42420
Phone (270) 831-7937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | Yes | ||
| Medical Physician Assistant |
363AM0700X |
Addresses
Primary practice location
1305 N Elm St Ste a
Henderson, KY 42420-2783
Mailing address
PO Box 638706
Cincinnati, OH 45263-8706
Phone (270) 827-7558
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100063350 | Medicaid | KY |
Other names
- METHODIST ENDOCRINOLOGY
Other providers in Henderson, KY
- Kayla Makay Messer
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
- Methodist Health, Inc.
All providers in Henderson, KY · Endocrinology, Diabetes & Metabolism Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.