Hamburg Gastroenterology, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

34156 Issued in KY

Legal business name

HAMBURG GASTROENTEROLOGY, PLLC

Practice address

1795 Alysheba Way
Suite 1003
Lexington, KY 40509

Phone

(859) 543-1777

Fax

(859) 543-1776

NPI assigned

Nov 17, 2006

Last updated

May 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karen S Jennings-Conklin, MD

Title

Gastroenterologist Owner

Phone

(859) 543-1777

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1316011059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY",
            "address_2": "SUITE 1003",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-543-1777",
            "fax_number": "859-543-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY",
            "address_2": "SUITE 1003",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "859-543-1777",
            "fax_number": "859-543-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBURG GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "JENNINGS-CONKLIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GASTROENTEROLOGIST OWNER",
        "authorized_official_telephone_number": "859-543-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "34156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64066822",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000362844",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00231447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Elizabeth Halverstadt, D.M.D.
• Mary Courtney Ham, LCSW
• Amar Hamad
• Scott Rollad Hamann, MD, PHD
• Hamburg Chiropractic & Functional Nutrition
• Hamburg Integrated Medicine PSC
• Rebecca Divan Hamburger, MD
• Cameron Hamby
• January Hamby, APRN
• Hussam N. Hamdalla, MD

• Gastroenterology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.