Trevor Douglas McHardy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2373 Issued in KY

Practice address

101 North Eagle Creek Drive
Lexington, KY 40509

Phone

(856) 275-4878

Fax

(859) 276-5400

NPI assigned

Oct 25, 2018

Last updated

Oct 25, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEADAA/Endpoint/BEADAA

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.

• Manoochehr Mazloomdoost PSC

  dba Wellward Regenerative Medicine

  • Pain Medicine (Anesthesiology) Physician
  • Lexington, KY
  • NPI 1770555492
  Medicare reassignment
• Manoochehr Mazloomdoost P S C

  dba Wellward

  • Pain Medicine (Anesthesiology) Physician
  • Corbin, KY
  • NPI 1720110182

  Physician Assistant

  NPD

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1407323611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NORTH EAGLE CREEK DRIVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "856-275-4878",
            "fax_number": "859-276-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTH EAGLE CREEK DRIVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509",
            "telephone_number": "856-275-4878",
            "fax_number": "859-276-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHARDY",
        "first_name": "TREVOR",
        "middle_name": "DOUGLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L McGuire
• Erin Christine McGuire
• Joanna McGuire, APSS
• Karyn N McGuire, APRN
• Kelli McGuire, AUD
• Emily McHone, CSW
• Megan McHugh, DMD, MS
• William McIlwain, LMT
• Galen McIntosh
• Lucy Ann McIntosh, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.