Active NPI
William Harston Jr., M.D.
- Cardiovascular Disease Physician
- Scottsville, KY
National Provider Identifier
1932103785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 24447
- Practice address
- 208 S Court St
Scottsville, KY 42164-1263 - Phone
- (270) 239-4000
- Fax
- (270) 796-9328
- NPI assigned
- Jun 9, 2005
- Last updated
- Jun 6, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 24447 | KY | Primary |
Addresses
Primary practice location
208 S Court St
Scottsville, KY 42164-1263
Mailing address
PO Box 90039
Bowling Green, KY 42102-9039
Phone (270) 796-8800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700005564 | Other | KY | RAILROAD MEDICARE |
| 64244478 | Medicaid | KY | |
| 000000044740 | Other | KY | ANTHEM |
| 50006915 | Other | KY | PASSPORT |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100426000095 | KY | Practitioner - Cardiovascular Disease (Cardiology) | 2466589353 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24447 | KY | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1932103785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90039",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421029039",
"telephone_number": "270-796-8800",
"fax_number": "270-796-9328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S COURT ST",
"city": "SCOTTSVILLE",
"state": "KY",
"postal_code": "421641263",
"telephone_number": "270-239-4000",
"fax_number": "270-796-9328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARSTON",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "24447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "700005564",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64244478",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000044740",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50006915",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.