Active NPI
Peter Timothy Egan, M.D.
- Internal Medicine Physician
- Vanceburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26672
- Practice address
- 211 Ky 59
Vanceburg, KY 41179-7647 - Phone
- (606) 796-3029
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 26672 | KY | Primary |
Addresses
Primary practice location
211 Ky 59
Vanceburg, KY 41179-7647
Mailing address
2215 Meadowridge Dr
Maysville, KY 41056-7905
Phone (606) 759-8706
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029
PO Box
Suite 550
Vanceburg, KY 41179
PO Box
Suite 550
Vanceburg, KY 41179-0550
Hospital & facility affiliations
- Somc Home Health Services
- Southern Ohio Medical Center
- Meadowview Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Primary Care Center, Inc. | Current | Accepting new patients | |
| Lewis County Primary Care Center, Inc. | Current | Accepting new patients |
Locations
432 16th St
Ashland, KY 41101
Phone (859) 509-5636
910 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-0490
910 Kenton Station Dr
Ste D
Maysville, KY 41056
Phone (606) 759-0706
211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029
Interoperability endpoints
- peter.egan.1@13661.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Vanceburg, KY
- NPI 1457303802
-
- Federally Qualified Health Center (FQHC)
- Morehead, KY
- NPI 1215643440
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
-
- Home Health Agency
- Vanceburg, KY
- NPI 1174862676
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1497856355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 MEADOWRIDGE DR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410567905",
"telephone_number": "606-759-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 KY 59",
"city": "VANCEBURG",
"state": "KY",
"postal_code": "411797647",
"telephone_number": "606-796-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "PETER",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "26672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vanceburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.