Active NPI
Pamela Kaye Harston, M.D.
- Physical Medicine & Rehabilitation Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25936
- Practice address
- 1890 Lyda Ave
Suite 103
Bowling Green, KY 42104-5829 - Phone
- (270) 904-6160
- Fax
- (270) 904-6165
- NPI assigned
- Nov 30, 2006
- Last updated
- Oct 26, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25936 | KY | Primary |
Addresses
Primary practice location
1890 Lyda Ave
Suite 103
Bowling Green, KY 42104-5829
Mailing address
1890 Lyda Ave
Suite 103
Bowling Green, KY 42104-5829
Phone (270) 904-6160
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000197280 | Other | KY | ANTHEM BCBS |
| 1467280 | Other | KY | UMWA |
| 64259369 | Medicaid | KY | |
| 8122 | Other | KY | KY DEPT OF WC |
| 250005380 | Other | KY | RR MEDICARE |
| 1157737 | Other | KY | PASSPORT MEDICAID |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Louisville School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1019 Majestic Dr
Lexington, KY 40513-1496
Phone (859) 687-9456
6400 Dutchmans Pkwy
Suite 20
Louisville, KY 40205-3341
Phone (502) 742-9392
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25936 | KY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Health Group of Kentucky, PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Physicians Health Group of Kentucky, PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Physicians Health Group of Louisville LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
1019 Majestic Dr
Ste 270D
Lexington, KY 40513
Phone (859) 687-9456
6400 Dutchmans Pkwy
Ste 20
Louisville, KY 40205
Phone (502) 742-9392
950 Breckenridge Ln
Ste 20
Louisville, KY 40207
Phone (502) 742-9392
Interoperability endpoints
- pharston@phgol.curemd.direct-ci.com
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Lexington, KY
- NPI 1437555299
-
- Physical Medicine & Rehabilitation Physician
- Louisville, KY
- NPI 1518478783
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Bowling Green, KY
- NPI 1760717516
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1104343490
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1902973043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 LYDA AVE",
"address_2": "SUITE 103",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045829",
"telephone_number": "270-904-6160",
"fax_number": "270-904-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 LYDA AVE",
"address_2": "SUITE 103",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045829",
"telephone_number": "270-904-6160",
"fax_number": "270-904-6165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARSTON",
"first_name": "PAMELA",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "25936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000197280",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1467280",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64259369",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY DEPT OF WC",
"identifier": "8122",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "250005380",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT MEDICAID",
"identifier": "1157737",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.