Organization Active NPI

Kevin a Moreman MD PSC

  • Gastroenterology Physician
  • Elizabethtown, KY
National Provider Identifier
1164663266
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
KEVIN A MOREMAN MD PSC
Practice address
2406 Ring Rd
Elizabethtown, KY 42701-7940
Phone
(270) 234-8866
Fax
(270) 234-1355
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Kevin A Moreman
Title
Owner
Phone
(270) 234-8866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2406 Ring Rd
Elizabethtown, KY 42701-7940

Mailing address

2406 Ring Rd
Elizabethtown, KY 42701-7940
Phone (270) 234-8866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1164663266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017940",
            "telephone_number": "270-234-8866",
            "fax_number": "270-234-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017940",
            "telephone_number": "270-234-8866",
            "fax_number": "270-234-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN A MOREMAN MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "MOREMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-234-8866"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "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 Mar 19, 2009; 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.