Organization Active NPI

Hazard Internal Medicine, P.S.C

  • Internal Medicine Physician
  • Hazard, KY
National Provider Identifier
1821211996
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.