Active NPI
Lee Underwood Herfel, MD
- Emergency Medicine Physician
- Fort Thomas, KY
National Provider Identifier
1912904293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35077810
- Practice address
- 85 N Grand Ave
Fort Thomas, KY 41075-1793 - Phone
- (859) 572-3618
- Fax
- (859) 572-2366
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35077810 | OH | Primary |
| Emergency Medicine Physician | 207P00000X | 33604 | KY |
Addresses
Primary practice location
85 N Grand Ave
Fort Thomas, KY 41075-1793
Mailing address
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3617
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200275060 | Medicaid | IN | |
| 2173099 | Medicaid | OH | |
| 64089899 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35077810 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ky-I Medical Services, P.S.C. | Past | Accepting new patients | |
| Clearfield Hospital | Past | Accepting new patients |
Interoperability endpoints
- lherfel555254@direct.ochsner.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physician Assistant
- Frankfort, KY
- NPI 1336586932
-
- General Acute Care Hospital
- Clearfield, PA
- NPI 1245402411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1912904293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 N GRAND AVE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751793",
"telephone_number": "859-572-3617",
"fax_number": "859-572-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 N GRAND AVE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751793",
"telephone_number": "859-572-3618",
"fax_number": "859-572-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERFEL",
"first_name": "LEE",
"middle_name": "UNDERWOOD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35077810",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "33604",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200275060",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2173099",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64089899",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.