Individual provider Active NPI

Courtney Maiden, D.O

  • Family Medicine Physician
  • Midway, KY
National Provider Identifier
1265826911
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04291 Issued in KY
Practice address
129 S Winter St
Midway, KY 40347-5002
Phone
(859) 846-4445
Fax
(859) 239-6785
NPI assigned
Mar 20, 2015
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04291 KY Primary

Addresses

Primary practice location

129 S Winter St
Midway, KY 40347-5002

Mailing address

129 S Winter St
Midway, KY 40347-5002
Phone (859) 846-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180518001234 KY Practitioner - Family Practice 3779875562 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
04291KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The James B. Haggin Memorial Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Jun 1, 2020 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Family Medicine Current Accepting new patients
The James B. Haggin Memorial Hospital Inc Family Medicine Current Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Jun 1, 2020 Accepting new patients
Anderson Family Health Care, PLLC Family Medicine PastSince Aug 2, 2021 Accepting new patients

Locations

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5123

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

466 Linden Ave
#B
Harrodsburg, KY 40330
Phone (859) 734-5123

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1265826911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S WINTER ST",
            "city": "MIDWAY",
            "state": "KY",
            "postal_code": "403475002",
            "telephone_number": "859-846-4445",
            "fax_number": "859-239-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S WINTER ST",
            "city": "MIDWAY",
            "state": "KY",
            "postal_code": "403475002",
            "telephone_number": "859-846-4445",
            "fax_number": "859-239-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDEN",
        "first_name": "COURTNEY",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midway, KY

Sources for this page

Verify at the official NPI Registry.