Active NPI
Allen Courtney Haddix, M.D.
- Family Medicine Physician
- Frankfort, KY
National Provider Identifier
1508933771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30388
- Practice address
- 601 Versailles Rd
Frankfort, KY 40601-3857 - Phone
- (502) 695-3946
- Fax
- (502) 695-3847
- NPI assigned
- Nov 30, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30388 | KY | Primary |
Addresses
Primary practice location
601 Versailles Rd
Frankfort, KY 40601-3857
Mailing address
601 Versailles Rd
Frankfort, KY 40601-3857
Phone (502) 695-3946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (Ky) PSC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (Ky) PSC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care Ky PSC | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
601 Versailles Rd
Frankfort, KY 40601
Phone (502) 695-3946
3151 S 2nd St
Louisville, KY 40208
Phone (502) 632-9313
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1376282038
Family Medicine
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1699549683
Family Medicine
-
- Internal Medicine Physician
- Frankfort, KY
- NPI 1780455527
Family Medicine
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1508933771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 VERSAILLES RD",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406013857",
"telephone_number": "502-695-3946",
"fax_number": "502-695-3847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 VERSAILLES RD",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406013857",
"telephone_number": "502-695-3946",
"fax_number": "502-695-3847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDIX",
"first_name": "ALLEN",
"middle_name": "COURTNEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "30388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.