Active NPI
Roger Joshua Strunk
- Nurse Practitioner
- Hazard, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3010735
- 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
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 |
|---|---|---|---|---|
| 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.
-
- Rural Health Clinic/Center
- Hyden, KY
- NPI 1891841961
KY
-
- Rural Health Clinic/Center
- Scuddy, KY
- NPI 1184676314
-
- Rural Health Clinic/Center
- Hindman, KY
- NPI 1356395198
-
- Rural Health Clinic/Center
- Whitesburg, KY
- NPI 1366227555
-
- Rural Health Clinic/Center
- Hazard, KY
- NPI 1942275805
-
- General Practice Dentistry
- Hazard, KY
- NPI 1598930026
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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3010735 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | 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 | Current | 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 | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.