Active NPI
Keith Kevin Harmon, M.D.
- Surgery Physician
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 48134
- Practice address
- 1700 Ring Rd
Elizabethtown, KY 42701-9497 - Phone
- (270) 769-5551
- NPI assigned
- May 22, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M-10274 | ID | |
| Surgery Physician | 208600000X | 35.126319 | OH | |
| Surgery Physician | 208600000X | 48134 | KY | Primary |
Addresses
Primary practice location
1700 Ring Rd
Elizabethtown, KY 42701-9497
Mailing address
1811 North Dixie Avenue, Suite 104, #113
Elizabethtown, KY 42701
Phone (208) 406-4058
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136330 | Medicaid | OH | |
| 808084800 | Medicaid | ID | |
| 000010168443 | Other | ID | REGENCE BLUE SHIELD |
| 1059288 | Other | ID | DESERET MUTUAL BENEFIT ADMINISTRATORS |
| 26-2759132 | Other | ID | RAIL ROAD MEDICARE |
| 77535 | Other | ID | BLUE CROSS |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Kentucky College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Ring Rd
Elizabethtown, KY 42701-9497
Phone (270) 769-5551
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 83 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 27 |
| Melanoma (skin cancer) excision | 12 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10274 | ID | MD | Surgery Physician |
| 48134 | KY | MD | Surgery Physician |
| 35.126319 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Surgery | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Healthcare System Inc | Past | Accepting new patients | |
| Optimum Health, PLLC | Past | Accepting new patients | |
| Judy PC | Surgery | Past | Accepting new patients |
| Saint Alphonsus Specialty Services Inc | Surgery | Past | Accepting new patients |
Locations
1700 Ring Rd
Elizabethtown, KY 42701
Phone (270) 769-5551
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Interoperability endpoints
- kharmon@hardinmemorial.gwaydirect.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1306401575
-
- Trauma Surgery Physician
- Boise, ID
- NPI 1093040479
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
dba Lake Cumberland Regional Hospital
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1730398165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 NORTH DIXIE AVENUE, SUITE 104, #113",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "42701",
"telephone_number": "208-406-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 RING RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427019497",
"telephone_number": "270-769-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "KEITH",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "M-10274",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.126319",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "48134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136330",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808084800",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010168443",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL BENEFIT ADMINISTRATORS",
"identifier": "1059288",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "26-2759132",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "77535",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.