Active NPI
Knox Hospital Corporation
Doing business as Knox County Hospital
- Emergency Medicine Physician
- Barbourville, KY
National Provider Identifier
1174743819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 600080
- Legal business name
- KNOX HOSPITAL CORPORATION
- Doing business as
- Knox County Hospital
- Practice address
- 80 Hospital Drive
Barbourville, KY 40906 - Phone
- (606) 546-4175
- Fax
- (606) 545-5511
- NPI assigned
- Apr 26, 2007
- Organization subpart
- Yes
- Parent organization
- KNOX HOSPITAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy R Brock
- Title
- Credentialing Coordinator
- Phone
- (606) 545-4866
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 600080 | KY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 600080 | KY |
Addresses
Primary practice location
80 Hospital Drive
Barbourville, KY 40906
Mailing address
PO Box 10
80 Hospital Drive
Barbourville, KY 40906
Phone (606) 546-4175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65944399 | Medicaid | KY |
Other names 1
- Knox County Hospital
National Provider Directory
National Provider Directory- Part of
- Knox Hospital Corporation
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Knox County Hospital
- Institutional Pharmacy
- Barbourville, KY
- NPI 1710035423
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1164630117
-
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1023011137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204243200000",
"number": "1174743819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"address_2": "80 HOSPITAL DRIVE",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "40906",
"telephone_number": "606-546-4175",
"fax_number": "606-545-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HOSPITAL DRIVE",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "40906",
"telephone_number": "606-546-4175",
"fax_number": "606-545-5511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOX HOSPITAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KNOX HOSPITAL CORPORATION",
"enumeration_date": "2007-04-26",
"last_updated": "2008-02-29",
"status": "A",
"authorized_official_last_name": "BROCK",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "606-545-4866"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "KY",
"license": "600080",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "600080",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65944399",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Knox County Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Barbourville, KY
- Knox County Radiology Associates, Inc.
- Knox County Schools
- Knox Family Dentistry, P.S.C.
- Knox Family Medicine
- Knox Family Medicine PSC
- Knox Hospital Corporation (Knox County Hospital SNF)
- Knox Hospital Corporation (Knox County Hospital)
- Knox Hospital Corporation (Knox County Hospital)
- Knox Professional Pharmacy Inc (Knox Professional Pharmacy)
- Nitin Kuppanda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.