Paul K Herrell PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

33605 Issued in KY

Legal business name

PAUL K HERRELL PSC

Doing business as

Ophthalmology Associates of Western KY

Practice address

205 W 15TH St
Hopkinsville, KY 42240-2035

Phone

(270) 886-2020

Fax

(270) 885-6271

NPI assigned

Aug 31, 2006

Last updated

Dec 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul K Herrell, MDNPI 1336134998

Title

Owner

Phone

(270) 886-2020

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ophthalmology Associates of Western KY Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

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.

• Paul K. Herrell, MD

  • Ophthalmology Physician
  • Hopkinsville, KY
  • NPI 1336134998
  Medicare reassignment Care Compare group Authorized official
• Amber Cook Lane, O.D.

  • Optometrist
  • Hopkinsville, KY
  • NPI 1144518010
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1578675518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 15TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402035",
            "telephone_number": "270-886-2020",
            "fax_number": "270-885-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 15TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402035",
            "telephone_number": "270-886-2020",
            "fax_number": "270-885-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL K HERRELL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "HERRELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-886-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1852DT",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "33605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65927758",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ophthalmology Associates of Western KY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maulik V Patel, PHARMD, BSPS
• Ramesh V Patel, M.D.
• Quaranetta Patrick
• Kristy Patterson
• Tiffany Patterson, M.ED., BCBA, LBA
• Mesha Irene Paul
• Holly N Payne, APRN
• Jamie Payne
• Jamie Renee Pearson
• Pennyrile Area Development District (Veterans Directed Care Program)

• Ophthalmology Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.