Infectious Disease Associates of Southeastern Kentucky PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

40016 Issued in KY

Legal business name

INFECTIOUS DISEASE ASSOCIATES OF SOUTHEASTERN KENTUCKY PSC

Practice address

200 Medical Center Dr
Hazard, KY 41701-9466

Phone

(606) 439-0800

Fax

(606) 439-6773

NPI assigned

Mar 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bekoe Berndt Opoku-Owusu, M.D.

Title

Owner

Phone

(606) 439-0800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1417255514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1448",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021448",
            "telephone_number": "606-439-0800",
            "fax_number": "606-439-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-439-0800",
            "fax_number": "606-439-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE ASSOCIATES OF SOUTHEASTERN KENTUCKY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "OPOKU-OWUSU",
        "authorized_official_first_name": "BEKOE",
        "authorized_official_middle_name": "BERNDT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-439-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "40016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Michelle Hurt, APRN
• Nuruddin Husein, DO
• Christen Huy, LCSW
• Jami Hyer, PT
• Liza Hylton, SLP
• Jabed Iqbal, M.D.
• Benjamin Daniel Ische, D.C.
• Bobby Ison, LPCC
• Jessica Ivey, APRN
• J & M Pharmacy LLC

• Specialist in Hazard, KY
• Providers in Hazard, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.