Active NPI
Peter Allan Ward, MD, FACS
- Plastic Surgery Physician
- Paducah, KY
National Provider Identifier
1851329122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 15202
- Practice address
- 242 Berger Rd
Paducah, KY 42003-4522 - Phone
- (270) 444-0119
- Fax
- (270) 444-9129
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 15202 | KY | Primary |
Addresses
Primary practice location
242 Berger Rd
Paducah, KY 42003-4522
Mailing address
242 Berger Rd
Paducah, KY 42003-4522
Phone (270) 444-0119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64095334 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Specialist
- Paducah, KY
- NPI 1043372279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1851329122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 BERGER RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034522",
"telephone_number": "270-444-0119",
"fax_number": "270-444-9129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 BERGER RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034522",
"telephone_number": "270-444-0119",
"fax_number": "270-444-9129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "PETER",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "MD, FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "KY",
"license": "15202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64095334",
"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 Mar 31, 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.