NPIMap

Organization Active NPI

Senior Health Services LLC

  • Ophthalmology Physician
  • Elizabethtown, KY
National Provider Identifier
1528458023
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
03287 Issued in KY
Legal business name
SENIOR HEALTH SERVICES LLC
Practice address
2410 Ring Rd
Suite 400
Elizabethtown, KY 42701-7994
Phone
(502) 883-1015
Fax
(502) 883-1019
NPI assigned
Feb 4, 2015
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dr. Mohammad Haider, D.O.NPI 1871622258
Title
President
Phone
(502) 883-1015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 03287 KY Primary

Addresses

Primary practice location

2410 Ring Rd
Suite 400
Elizabethtown, KY 42701-7994

Mailing address

2410 Ring Rd
Suite 400
Elizabethtown, KY 42701-7994
Phone (502) 883-1015

National Provider Directory

National Provider Directory

Locations

2410 Ring Rd
Ste 400
Elizabethtown, KY 42701
Phone (270) 982-3937

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1528458023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 RING RD",
            "address_2": "SUITE 400",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017994",
            "telephone_number": "502-883-1015",
            "fax_number": "502-883-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RING RD",
            "address_2": "SUITE 400",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017994",
            "telephone_number": "502-883-1015",
            "fax_number": "502-883-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-883-1015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "03287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.