Active NPI
Robert J Tagher, M.D.
- Pediatric Adolescent Medicine Physician
- Florence, KY
National Provider Identifier
1558376392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 33142
- Practice address
- 7409 US Highway 42
Florence, KY 41042-1905 - Phone
- (859) 525-8181
- Fax
- (859) 525-8289
- NPI assigned
- Jul 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 33142 | KY | Primary |
Addresses
Primary practice location
7409 US Highway 42
Florence, KY 41042-1905
Mailing address
7409 US Highway 42
Florence, KY 41042-1905
Phone (859) 525-8181
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64331424 | Medicaid | KY | |
| 311542435 | Other | KY | GROUP TAX ID |
| 65932758 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33142 | KY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Past | Accepting new patients | |
| Pediatrics of Florence, PSC | Adolescent Medicine | Past | Accepting new patients |
Interoperability endpoints
- robert.taghermd.p3@direct.kypeds.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- robert.tagher.pfl@direct.cps.nextgenshare.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.
-
- Pediatric Adolescent Medicine Physician
- Florence, KY
- NPI 1457432627
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1558376392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7409 US HIGHWAY 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421905",
"telephone_number": "859-525-8181",
"fax_number": "859-525-8289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7409 US HIGHWAY 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421905",
"telephone_number": "859-525-8181",
"fax_number": "859-525-8289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGHER",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "KY",
"license": "33142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64331424",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID",
"identifier": "311542435",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65932758",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.