NPIMap

Organization Active NPI

Kentucky Emergency Room Physicians Inc

  • Emergency Medicine Physician
  • Greenville, KY
National Provider Identifier
1720153935
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
KENTUCKY EMERGENCY ROOM PHYSICIANS INC
Practice address
440 Hopkinsville St
Greenville, KY 42345-1124
Phone
(800) 513-3044
Fax
(513) 281-4545
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Dr. Willard Keith, MDNPI 1669534194
Title
Ceo
Phone
(270) 338-8291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

440 Hopkinsville St
Greenville, KY 42345-1124

Mailing address

2950 Robertson Ave
Cincinnati, OH 45209-1268
Phone (800) 513-3044

Other identifiers 1

IdentifierTypeStateIssuer
65901779MedicaidKY

National Provider Directory

National Provider Directory

Locations

2950 Robertson Ave
Cincinnati, OH 45209

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1720153935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 ROBERTSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091268",
            "telephone_number": "800-513-3044",
            "fax_number": "513-281-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451124",
            "telephone_number": "800-513-3044",
            "fax_number": "513-281-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY EMERGENCY ROOM PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-338-8291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65901779",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.