NPIMap

Organization Active NPI

Comprehensive Neurological Services

  • Specialist
  • Paducah, KY
National Provider Identifier
1841349263
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32561 Issued in KY
Legal business name
COMPREHENSIVE NEUROLOGICAL SERVICES
Practice address
3101 Parisa Dr
Paducah, KY 42003-4584
Phone
(270) 575-9990
Fax
(270) 575-9950
NPI assigned
Jan 9, 2007
Last updated
Dec 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Dr. William Hogancamp, M.D.
Title
Owner
Phone
(270) 575-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 32561 KY Primary

Addresses

Primary practice location

3101 Parisa Dr
Paducah, KY 42003-4584

Mailing address

3101 Parisa Dr
Paducah, KY 42003-4584
Phone (270) 575-9990

Other identifiers 6

IdentifierTypeStateIssuer
000000323921OtherKYANTHEM BC/BS
65940652OtherKYMEDICAID GROUP NUMBER
P00110715OtherKYRAILROAD MEDICARE NUMBER
05156OtherKYRAILROAD MEDICARE GROUP #
9060OtherKYMEDICARE GROUP NUMBER
64325616MedicaidKY

National Provider Directory

National Provider Directory

Locations

1532 Lone Oak Rd
Ste 150
Paducah, KY 42003
Phone (270) 538-6700

3160 Parisa Dr
Ste C
Paducah, KY 42003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1841349263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034584",
            "telephone_number": "270-575-9990",
            "fax_number": "270-575-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PARISA DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034584",
            "telephone_number": "270-575-9990",
            "fax_number": "270-575-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "HOGANCAMP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-575-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "32561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000323921",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "65940652",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00110715",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "05156",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9060",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64325616",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.