Individual provider Active NPI

Arden M Acob, MD

  • Neurology Physician
  • Corbin, KY
National Provider Identifier
1982614871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
36306 Issued in KY
Practice address
110 Roy Kidd Ave
Corbin, KY 40701-1302
Phone
(606) 528-7400
Fax
(606) 528-7449
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 36306 KY Primary

Addresses

Primary practice location

110 Roy Kidd Ave
Corbin, KY 40701-1302

Mailing address

PO Box 545
Corbin, KY 40702-0545
Phone (606) 528-7400

Other identifiers 1

IdentifierTypeStateIssuer
64-032691MedicaidKY

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
I20040428001207 KY Practitioner - Neurology 9133116445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maria Cristina Atienza PSCGroup PAC ID 4183526544, 4 clinicians

Practice addresses (Care Compare)

110 Roy Kidd Ave
Corbin, KY 40701-1302
Phone (606) 528-7400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Cristina Atienza PSC Neurology CurrentSince Mar 9, 2004 Accepting new patients
Manchester Family Practice Clinic Past Accepting new patients
SE Kentucky Family Practice Clinics Inc Past Accepting new patients

Locations

110 Roy Kidd Ave
Corbin, KY 40701
Phone (606) 528-7400

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Atienza-Acob Medical ClinicCorbin, KY, CCN 183933 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Officer
Dec 31, 2007
Dec 31, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982614871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407020545",
            "telephone_number": "606-528-7400",
            "fax_number": "606-528-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROY KIDD AVE",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011302",
            "telephone_number": "606-528-7400",
            "fax_number": "606-528-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOB",
        "first_name": "ARDEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "36306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64-032691",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.