Organization Active NPI

Hassan H Ghazal MD

Doing business as Kentucky Cancer Clinic

  • Specialist
  • Hazard, KY
National Provider Identifier
1972708972
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33691 Issued in KY
Legal business name
HASSAN H GHAZAL MD
Doing business as
Kentucky Cancer Clinic
Practice address
200 Medical Center Dr Ste 3O
Professional Office Building
Hazard, KY 41701-9478
Phone
(606) 439-2239
Fax
(606) 439-3096
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Dr. Hassan H Ghazal, M.D.NPI 1972682219
Title
Hematologist/Oncologist
Phone
(606) 439-2239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 33691 KY Primary

Addresses

Primary practice location

200 Medical Center Dr Ste 3O
Professional Office Building
Hazard, KY 41701-9478

Mailing address

200 Medical Center Dr
Suite 3-0
Hazard, KY 41701-9466
Phone (606) 439-2239

Other identifiers 2

IdentifierTypeStateIssuer
64336910MedicaidKY
65938136MedicaidKY

Other names 1

  • Kentucky Cancer Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

200 Medical Center Dr
Ste 30
Hazard, KY 41701

200 Medical Center Dr
Ste 3D
Hazard, KY 41701
Phone (606) 439-2239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1972708972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 3-0",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-439-2239",
            "fax_number": "606-439-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR STE 3O",
            "address_2": "PROFESSIONAL OFFICE BUILDING",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019478",
            "telephone_number": "606-439-2239",
            "fax_number": "606-439-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASSAN H GHAZAL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "GHAZAL",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "HEMATOLOGIST/ONCOLOGIST",
        "authorized_official_telephone_number": "606-439-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "33691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64336910",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65938136",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Cancer Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 2012; 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.