Individual provider Active NPI

William Joseph Short, MD

  • Family Medicine Physician
  • Ashland, KY
National Provider Identifier
1487765293
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29564 Issued in KY
Practice address
200 Saint Christopher Dr
Ashland, KY 41101-7018
Phone
(606) 324-7083
Fax
(606) 324-9414
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29564 KY Primary

Addresses

Primary practice location

200 Saint Christopher Dr
Ashland, KY 41101-7018

Mailing address

200 Saint Christopher Dr
Ashland, KY 41101-7018
Phone (606) 324-7083

Other identifiers 1

IdentifierTypeStateIssuer
64295645MedicaidKY

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091231000128 KY Practitioner - Family Practice 9133260995 Practice locations: Ashland, KY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

200 Saint Christopher Dr
Ashland, KY 41101-7018
Phone (606) 324-7083

710 N Carol Malone Boulevard
Suite a
Grayson, KY 41143-1126
Phone (606) 474-0157

Hospital & facility affiliations

  • King'S Daughters' Medical Center HHA Home health agency, Ashland, KY, CCN 187047
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: william.short.1@30621.direct.athenahealth.com
  • Direct secure messaging: wshort9645@direct.kdhealth.us

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1487765293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017018",
            "telephone_number": "606-324-7083",
            "fax_number": "606-324-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017018",
            "telephone_number": "606-324-7083",
            "fax_number": "606-324-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "29564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64295645",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.