NPIMap

Organization Active NPI

Pikeville Medical Center, Inc.

  • Physician Assistant
  • Pikeville, KY
National Provider Identifier
1255468591
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
PIKEVILLE MEDICAL CENTER, INC.
Practice address
911 Bypass Rd
Pikeville, KY 41501-1689
Phone
(606) 218-3500
Fax
(606) 218-4562
NPI assigned
Feb 27, 2007
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PIKEVILLE MEDICAL CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Mrs. Michelle Hagy
Title
Cfo
Phone
(606) 218-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

911 Bypass Rd
Pikeville, KY 41501-1689

Mailing address

PO Box 2917
Pikeville, KY 41502-2917
Phone (606) 218-3500

Other identifiers 2

IdentifierTypeStateIssuer
7100025560MedicaidKY
000000056961OtherKYBCBS

National Provider Directory

National Provider Directory
Tax ID family
Pikeville Med Ctr Inc59 organizations share this tax ID, including this one
Part of
Pikeville Med Ctr Inc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1255468591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2917",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022917",
            "telephone_number": "606-218-3500",
            "fax_number": "606-218-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-218-3500",
            "fax_number": "606-218-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIKEVILLE MEDICAL CENTER INC.",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "HAGY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-218-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100025560",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000056961",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.