Active NPI
Edakkunny W Unnikrishnan, MD
- Urology Physician
- Ashland, KY
National Provider Identifier
1326023110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 19376
- Practice address
- 900 Saint Christopher Dr
Suite 201
Ashland, KY 41101-7032 - Phone
- (606) 836-2311
- Fax
- (606) 836-3616
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 19376 | KY | Primary |
Addresses
Primary practice location
900 Saint Christopher Dr
Suite 201
Ashland, KY 41101-7032
Mailing address
900 Saint Christopher Dr
Suite 201
Ashland, KY 41101-7032
Phone (606) 836-2311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0398976 | Medicaid | OH | |
| 64193766 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Bellefonte Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Our Lady of Bellefonte Hospital Pro Fee
- Cardiovascular Disease Physician
- Ashland, KY
- NPI 1427489921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1326023110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SAINT CHRISTOPHER DR",
"address_2": "SUITE 201",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017032",
"telephone_number": "606-836-2311",
"fax_number": "606-836-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SAINT CHRISTOPHER DR",
"address_2": "SUITE 201",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017032",
"telephone_number": "606-836-2311",
"fax_number": "606-836-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNNIKRISHNAN",
"first_name": "EDAKKUNNY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "19376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0398976",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64193766",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
- Ultimate Care Behavioral Health Services (Ultimate Care Medical Services)
- Ultimate Care Medical Services LLC (Ultimate Treatment Center)
- Ultimate Care Medical Services LLC
- Ultimate Care Medical Services LLC (Ultimate Treatment Center Lab)
- Unified Psychiatry, PSC
- Tonya Unrue, RN
- Rose Onyinyechi Uradu, MD
- Urgentcare Transport Inc
- Urology Center of Northeastern Ky
- Mario Luis Valdez Imbert, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.