NPIMap

Individual provider Active NPI

Patrick Kevin Hayden, M.D.

  • Family Medicine Physician
  • Russellville, KY
National Provider Identifier
1295847184
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26796 Issued in KY
Practice address
1719 Nashville St
Suite C
Russellville, KY 42276-8855
Phone
(270) 726-7664
Fax
(270) 726-9997
NPI assigned
Aug 31, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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 26796 KY Primary

Addresses

Primary practice location

1719 Nashville St
Suite C
Russellville, KY 42276-8855

Mailing address

1719 Nashville St
Suite C
Russellville, KY 42276-8855
Phone (270) 726-7664

Other identifiers 3

IdentifierTypeStateIssuer
1493701OtherKYINDIVIDUAL PIN
64267966MedicaidKY
65929481MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000131 KY Practitioner - Family Practice 5799756102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Logan Family Practice LLCGroup PAC ID 7719384163, 4 clinicians

Practice addresses (Care Compare)

1681 Normal Dr
Bowling Green, KY 42101-1041
Phone (270) 745-0987

1719 Nashville St
Suite C
Russellville, KY 42276-7804
Phone (270) 726-7664

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 781-7178

250 Park St
Bowling Green, KY 42101-1795

350 Park St
Bowling Green, KY 42101-1784

350 Park St
Suite 102
Bowling Green, KY 42101-1700
Phone (270) 796-3520

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 846-8902

427 US 31W Byp
Bowling Green, KY 42101-1703
Phone (270) 796-8000

523 Park St
Bowling Green, KY 42101-1765
Phone (270) 781-0075

5796 Nashville Rd
Bowling Green, KY 42101-7546
Phone (270) 745-0987

6807 Louisville Rd
Bowling Green, KY 42101-8015
Phone (270) 745-0987

720 2ND Ave
Suite 307
Bowling Green, KY 42101-1718
Phone (270) 780-2760

800 Park St
Bowling Green, KY 42101-2347

825 2ND Ave
Bowling Green, KY 42101-1789

825 2ND Ave
Bowling Green, KY 42101-1790

825 2ND Ave
Bowling Green, KY 42101-1791

825 2ND Ave E
Suite C2
Bowling Green, KY 42101-1786

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26796KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc CurrentSince Nov 1, 2025 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Logan Family Practice LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Logan Family Practice LLC CurrentSince Sep 1, 2021 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Jul 1, 2024 Accepting new patients
Russellville Ky Opco LLC Past Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

1719 Nashville St
Russellville, KY 42276
Phone (270) 726-7664

1719 Nashville St
Ste C
Russellville, KY 42276
Phone (270) 726-7664

Interoperability endpoints

  • Direct secure messaging: cco9105@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/26087/brand/2/csg/21/fhir/r4
  • Direct secure messaging: patrick.hayden.1@19475.direct.athenahealth.com
  • Direct secure messaging: phayden@loganfamily.e-mdsdirect.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1295847184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 NASHVILLE ST",
            "address_2": "SUITE C",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768855",
            "telephone_number": "270-726-7664",
            "fax_number": "270-726-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 NASHVILLE ST",
            "address_2": "SUITE C",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768855",
            "telephone_number": "270-726-7664",
            "fax_number": "270-726-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "PATRICK",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "26796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PIN",
            "identifier": "1493701",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64267966",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65929481",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, KY

Sources for this page

Verify at the official NPI Registry.