Organization Active NPI

Kentucky Ultrasound Associates, Inc

  • Physiological Laboratory
  • Hazard, KY
National Provider Identifier
1922097229
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
KENTUCKY ULTRASOUND ASSOCIATES, INC
Practice address
609 Main St
Hazard, KY 41701-1381
Phone
(606) 487-1183
Fax
(606) 436-0923
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mr. Charles R Coleman
Title
Director
Phone
(606) 487-1183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

609 Main St
Hazard, KY 41701-1381

Mailing address

609 Main St
Hazard, KY 41701-1381
Phone (606) 487-1183

Other identifiers 1

IdentifierTypeStateIssuer
86000163MedicaidKY

National Provider Directory

National Provider Directory

Locations

1908 N Main St
Ste 250
Hazard, KY 41701
Phone (606) 487-1183

609 Main St
Hazard, KY 41701
Phone (606) 436-6895

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1922097229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011381",
            "telephone_number": "606-487-1183",
            "fax_number": "606-436-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011381",
            "telephone_number": "606-487-1183",
            "fax_number": "606-436-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY ULTRASOUND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "606-487-1183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86000163",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.