Individual provider Active NPI

William Craig Denham, MD

  • Family Medicine Physician
  • Maysville, KY
National Provider Identifier
1760434203
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39526 Issued in KY
Practice address
525 Tucker Dr
Maysville, KY 41056-9182
Phone
(606) 759-0002
Fax
(606) 759-0103
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39526 KY Primary

Addresses

Primary practice location

525 Tucker Dr
Maysville, KY 41056-9182

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 759-0002

Other identifiers 2

IdentifierTypeStateIssuer
2663658MedicaidOH
64117773MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050317000953 KY Practitioner - Family PracticePractitioner - Internal Medicine 6002861457 Reassigns benefits to 2 organizations
I20210301001918 OH Practitioner - Family PracticePractitioner - Hospice/Palliative Care 6002861457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
University of Kentucky College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis County Primary Care Center, IncGroup PAC ID 1153311774, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

525 Tucker Dr
Maysville, KY 41056-9182
Phone (859) 509-5636

927 Kenton Station Dr
Maysville, KY 41056-9617
Phone (606) 759-5331

Hospital & facility affiliations

  • Hospice of Hope Inc Hospice, Maysville, KY, CCN 181519
  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Hope, Inc. Family Medicine CurrentSince Jan 21, 2021 Accepting new patients
Hospice of Hope, Inc. Family Medicine CurrentSince Oct 13, 2020 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Mar 29, 2021 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Mar 29, 2021 Accepting new patients
Community Emergency Physicians, PLLC Past Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

525 Tucker Dr
Maysville, KY 41056
Phone (606) 759-0002

909 Kenton Station Dr
Maysville, KY 41056
Phone (606) 759-2118

215 Hughes Blvd
Mount Orab, OH 45154
Phone (937) 444-4900

Interoperability endpoints

  • Direct secure messaging: william.denham.1@13661.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1760434203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-759-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TUCKER DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569182",
            "telephone_number": "606-759-0002",
            "fax_number": "606-759-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHAM",
        "first_name": "WILLIAM",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "39526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2663658",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64117773",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.