Organization Active NPI

Kanta Arya MD PSC

  • Pediatric Hospice and Palliative Medicine Physician
  • Hazard, KY
National Provider Identifier
1164638953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X
Legal business name
KANTA ARYA MD PSC
Practice address
200 Medical Center Dr
Suite 3L
Hazard, KY 41701-9466
Phone
(606) 139-1815
Fax
(606) 436-5021
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kanta Arya, MD
Title
Physician
Phone
(606) 439-1815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hospice and Palliative Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080H0002X Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 3L
Hazard, KY 41701-9466

Mailing address

200 Medical Center Dr
Suite 3L
Hazard, KY 41701-9466
Phone (606) 139-1815

Other identifiers 3

IdentifierTypeStateIssuer
65937260MedicaidKY
000000001603OtherKYCHA HEALTH
000000041977OtherKYANTHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164638953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 3L",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-139-1815",
            "fax_number": "606-436-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 3L",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-139-1815",
            "fax_number": "606-436-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANTA ARYA MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARYA",
        "authorized_official_first_name": "KANTA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-439-1815",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65937260",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH",
            "identifier": "000000001603",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000041977",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.