Active NPI
Arden M Acob, MD
- Neurology Physician
- Corbin, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 36306
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64-032691 | Medicaid | KY |
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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria Cristina Atienza PSC | Neurology | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Atienza-Acob Medical Clinic | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Corbin, KY
- NPI 1275543134
5% Or Greater Direct Ownership Interest, Corporate Officer
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Corbin, KY
- NPI 1275543134
Neurology
-
- Family Medicine Physician
- Manchester, KY
- NPI 1447201207
-
- Family Medicine Physician
- Corbin, KY
- NPI 1861576365
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.