Active NPI
Kenneth R. Hauswald
- Surgery Physician
- Ashland, KY
National Provider Identifier
1376621771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 16406
- Legal business name
- KENNETH R. HAUSWALD
- Practice address
- 400 Saint Christopher Dr
Ashland, KY 41101-7022 - Phone
- (606) 833-0088
- Fax
- (606) 833-0130
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth R Hauswald, M.D.
- Title
- Owner
- Phone
- (606) 920-9813
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 16406 | KY | Primary |
Addresses
Primary practice location
400 Saint Christopher Dr
Ashland, KY 41101-7022
Mailing address
400 Saint Christopher Dr
Ashland, KY 41101-7022
Phone (606) 833-0088
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0385104 | Medicaid | OH | |
| 000000215221 | Other | KY | ANTHEM BC/BS |
| 64164064 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1376621771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SAINT CHRISTOPHER DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017022",
"telephone_number": "606-833-0088",
"fax_number": "606-833-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAINT CHRISTOPHER DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017022",
"telephone_number": "606-833-0088",
"fax_number": "606-833-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH R. HAUSWALD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "HAUSWALD",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-920-9813",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "KY",
"license": "16406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0385104",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000215221",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64164064",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.