Individual provider Active NPI

Pamela Kaye Harston, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bowling Green, KY
National Provider Identifier
1902973043
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25936 Issued in KY
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000197280OtherKYANTHEM BCBS
1467280OtherKYUMWA
64259369MedicaidKY
8122OtherKYKY DEPT OF WC
250005380OtherKYRR MEDICARE
1157737OtherKYPASSPORT 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000197 KY Practitioner - Physical Medicine and Rehabilitation 2668519513 Reassigns benefits to 2 organizations

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
Physicians Health Group of Louisville LLCGroup PAC ID 5294092383, 7 clinicians

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 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25936KYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Health Group of Kentucky, PLLC Physical Medicine & Rehabilitation CurrentSince Sep 11, 2017 Accepting new patients
Physicians Health Group of Kentucky, PLLC Physical Medicine & Rehabilitation CurrentSince Sep 11, 2017 Accepting new patients
Physicians Health Group of Louisville LLC Physical Medicine & Rehabilitation CurrentSince Oct 25, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.