Active NPI
Hazard Internal Medicine, P.S.C
- Internal Medicine Physician
- Hazard, KY
National Provider Identifier
1821211996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HAZARD INTERNAL MEDICINE, P.S.C
- Practice address
- 243 Roy Campbell Dr
Suite a
Hazard, KY 41701-9485 - Phone
- (606) 438-9937
- Fax
- (606) 487-0396
- NPI assigned
- Apr 10, 2007
- Last updated
- Oct 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas E. Karelis Jr., M.D.
- Title
- President, Hazard Internal Medicine
- Phone
- (606) 438-9937
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
243 Roy Campbell Dr
Suite a
Hazard, KY 41701-9485
Mailing address
243 Roy Campbell Dr
Suite a
Hazard, KY 41701-9485
Phone (606) 438-9937
National Provider Directory
National Provider DirectoryLocations
243 Roy Campbell Dr
Ste A
Hazard, KY 41701
Phone (606) 487-0333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1821211996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 ROY CAMPBELL DR",
"address_2": "SUITE A",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019485",
"telephone_number": "606-438-9937",
"fax_number": "606-487-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 ROY CAMPBELL DR",
"address_2": "SUITE A",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019485",
"telephone_number": "606-438-9937",
"fax_number": "606-487-0396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAZARD INTERNAL MEDICINE, P.S.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "KARELIS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT, HAZARD INTERNAL MEDICINE",
"authorized_official_telephone_number": "606-438-9937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazard, KY
- Hazard Arh Imaging Center LLC (Medical Mall Imaging Center)
- Hazard Arh Imaging Center LLC (Medical Mall Imaging Center)
- Hazard Arh Regional Medical Center
- Hazard Family Medical Clinic
- Hazard Ind. Schools
- Hazard Nursing Home, Inc. (Hazard Nursing Home)
- Hazard Perry County Community Ministries, Inc.
- Hazard Radiology Associates Inc.
- Hazard Radiology Associates Inc.
- Sondra Heath
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.