Individual provider Active NPI

Roger Joshua Strunk

  • Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1629513239
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3010735 Issued in KY
Practice address
101 Town and Country Lane
Hazard, KY 41702
Phone
(606) 435-7642
Fax
(606) 436-5282
NPI assigned
Jan 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3010735 KY Primary

Addresses

Primary practice location

101 Town and Country Lane
Hazard, KY 41702

Mailing address

PO Box 1988
Suite100
Hazard, KY 41702
Phone (606) 435-7642

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Centers of Eastern Kentucky LLC 46 clinicians

Practice addresses (Care Compare)

101 Town and Country LN
Suite 100
Hazard, KY 41701-9524
Phone (606) 439-1300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201002422 KY Practitioner - Nurse Practitioner 4789967514 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010735KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC CurrentSince Jan 1, 2017 Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC CurrentSince Jan 1, 2017 Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Past Accepting new patients

Locations

101 Town and Country Ln
#100
Hazard, KY 41701
Phone (606) 439-1300

101 Town and Country Ln
Hazard, KY 41701
Phone (606) 435-0460

145 Citizens Ln
Ste B
Hazard, KY 41701
Phone (606) 439-1300

425 Hindman Byp
Hindman, KY 41822
Phone (606) 785-1300

21992 Main St
Hyden, KY 41749
Phone (606) 672-5200

47 Highway 119 S
Ste 3
Whitesburg, KY 41858
Phone (606) 403-0001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1629513239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "address_2": "SUITE100",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41702",
            "telephone_number": "606-435-7642",
            "fax_number": "606-436-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LANE",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41702",
            "telephone_number": "606-435-7642",
            "fax_number": "606-436-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUNK",
        "first_name": "ROGER",
        "middle_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.