Elizabeth N. Lanham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2210 Issued in KY

Practice address

4863B Scottsville Rd
Bowling Green, KY 42104

Phone

(270) 843-5662

Fax

(270) 843-5614

NPI assigned

Jan 21, 2010

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Bluegrass Med CareGroup PAC ID 2961873542, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluegrass Med Care

  • Primary Care Clinic/Center
  • Bowling Green, KY
  • NPI 1861118895
  Medicare reassignment Care Compare group Authorized official

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

• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1043293608
  Care Compare affiliation

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1760713390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863B SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047909",
            "telephone_number": "270-843-5662",
            "fax_number": "270-843-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863B SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42104",
            "telephone_number": "270-843-5662",
            "fax_number": "270-843-5614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 B South Broadway",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TN",
            "postal_code": "371481651",
            "country_code": "US",
            "telephone_number": "800-423-1330",
            "fax_number": "800-423-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 B South Broadway",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TN",
            "postal_code": "371481651",
            "country_code": "US",
            "telephone_number": "800-423-1330",
            "fax_number": "800-423-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANHAM",
        "first_name": "ELIZABETH",
        "middle_name": "N.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Vincent Lambert
• Bethany Lancaster, RBT
• Laura Lancaster, MFTA
• Leisia Kristina Landers, MSW, LCSW
• Emily Langlois, APRN
• Kathy Lynne Lanier, RD, RN
• Corey Lannert, ATC
• Jennifer Lynn Larkin, OTR/L
• Andrea Larsen, RD
• Aleisha Leigh Larue, MS, BCBA, LBA

• Physician Assistant in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.

Verify at the official NPI Registry.